STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARY MANNING WALSH NURSING HOME CO INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARY MANNING WALSH NURSING HOME CO INC (EIN 13-6220617)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201333179349305133
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T17:10:34-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1
CityHARRISONCity
StateNYState
ZIP Code105281633ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN136220617EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARY MANNING WALSH NURSING HOME CO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone6466334700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11339 YORK AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100214707ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNMARIE COVONEName
TitleSENIOR VP & CFOTitle
Phone6466334700Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINSName
PTINP00543209PTIN
Phone9143818900Phone
Date Prepared2013-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ARCHCARE AT MARY MANNING WALSH HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT P LA RUENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1205 LEXINGTON AVENUE - 2ND FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Gross Receipts58939167GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.ARCHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionARCHCARE AT MARY MANNING WALSH IS A 362-BED SKILLED NURSING AND REHABILITATION CENTER SERVING THE UPPER EAST SIDE NEIGHBORHOOD OF MANHATTAN.SKILLED NURSING IS AVAILABLE TO ALL RESIDENTS ACCORDING TO THEIR NEEDS. THERE IS A NURSING STATION NEAR THE MIDDLE OF EACH FLOOR AND A GERIATRIC ATTENDANT THAT IS ASSIGNED TO HELP RESIDENTS.THE BUILDING'S MANY PUBLIC SPACES, INCLUDING AN OUTDOOR TERRACE ON THE 7TH FLOOR, HOST ACTIVITIES TO MEET INDIVIDUAL NEEDS AND PROVIDE OPPORTUNITIES FOR SOCIALIZATION. WHILE THE CONCOURSE LEVEL COFFEE SHOP IS A FAVORITE MEETING PLACE FOR FAMILY AND FRIENDS, MANY RESIDENTS ARE MOST FOND OF THE WALSH HOME'S EMERALD LOUNGE WHERE MANY GATHER FOR COCKTAILS AND COMPANIONSHIP EACH EVENING. EVENTS CALENDARS ARE POSTED AT NURSES' STATIONS, IN ELEVATORS AND IN THE MAIN DINING ROOM. WITH THE HELP OF AN ACTIVE FAMILY CIRCLE AND A STRONG VOLUNTEER PROGRAM, THE WALSH HOME IS ABLE TO OFFER ITS RESIDENTS HIGHLY SATISFYING ACTIVITIES TO FILL THEIR DAYS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees614TotalNbrEmployees
Total Nbr Volunteers781TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1480445ContributionsGrantsPriorYear
Contributions Grants Current Year3996808ContributionsGrantsCurrentYear
Program Service Revenue Prior Year51746180ProgramServiceRevenuePriorYear
Program Service Revenue CY51463337ProgramServiceRevenueCY
Investment Income Prior Year54342InvestmentIncomePriorYear
Investment Income Current Year80011InvestmentIncomeCurrentYear
Other Revenue Prior Year-3782OtherRevenuePriorYear
Other Revenue Current Year43846OtherRevenueCurrentYear
Total Revenue Prior Year53277185TotalRevenuePriorYear
Total Revenue Current Year55584002TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29195200SalariesEtcPriorYear
Salaries Etc Current Year29570269SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20712902OtherExpensePriorYear
Other Expenses Current Year20739165OtherExpensesCurrentYear
Total Expenses Prior Year49925602TotalExpensesPriorYear
Total Expenses Current Year50316934TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3351583RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5267068RevenuesLessExpensesCY
Total Assets BOY41370464TotalAssetsBOY
Total Assets EOY45093869TotalAssetsEOY
Total Liabilities BOY12222072TotalLiabilitiesBOY
Total Liabilities EOY11535727TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29148392NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33558142NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45063069Expense
Grants7500Grants
Revenue51455567Revenue
DescriptionCARE SERVICES AT MARY MANNING WALSH 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, AND FAMILY AND RESIDENT COUNCILS. DURING 2012, 130,061 DAYS OF CARE WERE PROVIDED BY THE NURSING HOME TO 1,026 PATIENTS.Description
Total Program Service Expense45063069TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees614NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNMARIE COVONENamePerson
Telephone Number6466334702TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1205 LEXINGTON AVE - 2ND FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KARL P ADLER
VICE-CHAIRMAN & SECRETARY1.001.00XX000
MANFRED ALTSTADT
BOARD MEMBER1.003.00X000
MSGR WILIAM BELFORD
BOARD MEMBER1.001.00X000
JOHN T DUNLAP
BOARD MEMBER1.001.00X000
MSGR CHARLES J FAHEY
BOARD MEMBER1.001.00X000
THOMAS J FAHEY JR MD
BOARD MEMBER1.003.00X000
RORY KELLEHER
TERM ENDED JUNE 20121.001.00X000
JOHN MARINELLI
BOARD MEMBER1.001.00X000
THOMAS M O'BRIEN
VICE-CHAIR1.001.00XX000
FRANCIS J SERBAROLI ESQ
CHAIRMAN1.001.00XX000
BISHOP DENNIS SULLIVAN
BOARD MEMBER1.001.00X000
GT SWEENEY
BOARD MEMBER1.001.00X000
JOSEPH P ANDERSON
BOARD MEMBER1.001.00X000
ERIC P FELDMANN
BOARD MEMBER1.001.00X000
MSGR GREGORY MUSTACIUOLO
BOARD MEMBER1.001.00X000
KATHRYN ROONEY
BOARD MEMBER1.001.00X000
MOTHER M MARK LOUIS OCARM
TERM ENDED OCTOBER 20121.001.00X000
ANNMARIE COVONE
SENIOR VP/CFO0.1038.40X0439024132074
SCOTT P LA RUE
PRESIDENT / CEO0.1038.40X0650469202022
RICHARD P BISCOTTI
ADMINISTRATOR35.00197061065326X
WILLIAM GRIFFO
MEDICAL DIRECTOR35.00157918011400X
HELEN YEE
ASST. ADMINISTRATOR35.00130932036126X
ALFONSO S RAMSAY
DIRECTOR OF SUPPORT SERVICES35.00109197027759X
MARY ELLEN LYNCH
DIRECTOR OF REHAB35.00110364019748X
AKIA S BLANDON
DIRECTOR OF NURSING35.00162621035510X
FieldValueIRS element (for citing)
Total Reportable Comp From Org868093TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1089493TotalReportableCompFrmRltdOrgs
Total Other Compensation529965TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
W&M SPRINKLER COMPANY LLC
50 BROADWAY 2ND FLOORHAWTHORNENY10532SPRINKLER CONSTRUCTION3473909
MORRISON SENIOR DINING
PO BOX 102289ATLANTAGA30368NUTRITIONAL MANAGEMENT1592463
CATHOLIC HEALTH CARE SYSTEM
205 LEXINGTON AVENUE 2ND FLRNEW YORKNY10016ADMINISTRATIVE AND CONSULTING SERVICES1573560
GREENKEY RESOURCES
475 PARK AVENUE SOUTH 7TH FLOORNEW YORKNY10016NURSE AGENCY765253
RCM TECHNOLOGIES
PO BOX 7777 W0570PHILADELPHIAPA19175NURSING AND REHAB.480970
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Fundraising Events187483FundraisingEvents
Related Organizations12000RelatedOrganizations
All Other Contributions3797325AllOtherContributions
Total Contributions3996808TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6230001797593717975937
PRIVATE PATIENT REVENUE6230001665980716659807
MEDICARE6230001469549514695495
OTHER PATIENT REVENUE62300021320982132098
FieldValueIRS element (for citing)
Total Program Service Revenue51463337TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column79393TotalRevenueColumn
Exclusion$79,393ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real170556Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real175931Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-5375Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-5375TotalRevenueColumn
Exclusion-$5,375ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2996170Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2995552Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities618Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column618TotalRevenueColumn
Exclusion$618ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events104067GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events187483CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses70598FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column33469TotalRevenueColumn
Exclusion$33,469ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory105314GrossSalesOfInventory
Cost Of Goods Sold113084CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-7770TotalRevenueColumn
Related Or Exempt Function Income-7770RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL RECORD ABSTRACTS90009910303$10,303
VENDING MACHINES90009910000$10,000
INCOME ON PAST DUE ACCOUNTS9000992927$2,927

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column292TotalRevenueColumn
Exclusion$292ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23522TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55584002TotalRevenueColumn
Related Or Exempt Function Income51455567RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$131,627ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7500Total
Program Services7500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total265220Total
Management And General265220ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20158426Total
Program Services19530886ProgramServices
Management And General627540ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1765075Total
Program Services1700883ProgramServices
Management And General64192ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5127978Total
Program Services4936526ProgramServices
Management And General191452ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2253570Total
Program Services2157676ProgramServices
Management And General95894ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1899977Total
Management And General1899977ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total227990Total
Management And General227990ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55272Total
Management And General55272ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3483Total
Management And General3483ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3144799Total
Program Services2644957ProgramServices
Management And General499842ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total21540Total
Management And General21540ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2398356Total
Program Services2162195ProgramServices
Management And General236161ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total126075Total
Management And General126075ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2685941Total
Program Services2680776ProgramServices
Management And General5165ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5524Total
Program Services1596ProgramServices
Management And General3928ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2145555Total
Program Services2066250ProgramServices
Management And General79305ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total543161Total
Management And General543161ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPT ASSESS24339182433918
PURCH. & CONTRACTED SER19861651721204264961
BAD DEBT13770111377011
PRESCRIPTION DRUGS900212900212

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total784186Total
Program Services741479ProgramServices
Management And General42707ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50316934Total
Program Services45063069ProgramServices
Management And General5253865ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4567764BOY
EOY3622881EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13937074BOY
EOY17504611EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8036092BOY
EOY6947577EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28110BOY
EOY26565EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY346453BOY
EOY231761EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis55582030LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42236472LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10967887BOY
EOY13345558EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2288135BOY
EOY2024162EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1198949BOY
EOY1390754EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41370464BOY
EOY45093869EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4257800BOY
EOY4122123EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6225000BOY
EOY5325000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY662110BOY
EOY761061EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1077162BOY
EOY1327543EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12222072BOY
EOY11535727EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29148392BOY
EOY33558142EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29148392BOY
EOY33558142EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41370464BOY
EOY45093869EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5267068ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-4214ReconciliationUnrealizedInvest
Reconcilation Other Changes-853104ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years528591CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years820247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years204016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1480445CurrentTaxYearMinus1Year
Current Tax Year3996808CurrentTaxYear
Total7030107Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45504974CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47691570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47448228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51840816CurrentTaxYearMinus1Year
Current Tax Year51672718CurrentTaxYear
Total244158306Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46033565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48511817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47652244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53321261CurrentTaxYearMinus1Year
Current Tax Year55669526CurrentTaxYear
Total251188413Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4425CurrentTaxYearMinus2Years
Current Tax Year775CurrentTaxYear
Total5200Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years4425CurrentTaxYearMinus2Years
Current Tax Year775CurrentTaxYear
Total5200Total
FieldValueIRS element (for citing)
Public Support Total509251183213PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years409011CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years257551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223089CurrentTaxYearMinus1Year
Current Tax Year249949CurrentTaxYear
Total1351959Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years409011CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years257551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year223089CurrentTaxYearMinus1Year
Current Tax Year249949CurrentTaxYear
Total1351959Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years315820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years102858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29356CurrentTaxYearMinus1Year
Current Tax Year23522CurrentTaxYear
Total536820Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46758396CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48834632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47967461CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53573706CurrentTaxYearMinus1Year
Current Tax Year55942997CurrentTaxYear
Total253077192Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99250PublicSupportPercentage509
Prior Year Support Percentage0.99070PriorYearSupportPercentage
Investment Income Percentage0.00530InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00570PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 315,820. 2009 AMOUNT: $ 12,277. 2011 AMOUNT: $ 7,082. 2012 AMOUNT: $ 292. COFFEE SHOP - 2009 AMOUNT: $ 31,934. 2010 AMOUNT: $ 68,678. GIFT SHOP - 2009 AMOUNT: $ 10,993. 2010 AMOUNT: $ 7,337. VENDING MACHINE - 2009 AMOUNT: $ 10,060. 2010 AMOUNT: $ 12,100. 2011 AMOUNT: $ 10,000. 2012 AMOUNT: $ 10,000. REBATES - 2010 AMOUNT: $ 3,720. 2011 AMOUNT: $ 1,427. CAFETERIA - 2010 AMOUNT: $ 3,278. MEDICAL RECORDS - 2010 AMOUNT: $ 6,459. 2011 AMOUNT: $ 9,640. 2012 AMOUNT: $ 10,303. PAST DUE ACCOUNTS - 2010 AMOUNT: $ 1,286. 2011 AMOUNT: $ 1,148. 2012 AMOUNT: $ 2,927. CABLE - 2011 AMOUNT: $ 59.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,483OtherActivitiesAmount
Total Lobbying Expenditures IIB3483TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMARY MANNING WALSH NURSING HOME CO., INC. 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 2012 CCLC AND LOCAL 1199 DUES WAS $3,039 AND $444, RESPECTIVELY.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1500000OtherCostOrOtherBasis
Book Value1500000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39842856OtherCostOrOtherBasis
Depreciation34331196Depreciation
Book Value5511660BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8845923OtherCostOrOtherBasis
Depreciation7903634Depreciation
Book Value942289BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5393251OtherCostOrOtherBasis
Depreciation1642Depreciation
Book Value5391609BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13345558TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATION$72,400
ACCRUED PENSION LIABILITY$722,920
PROFESSIONAL LIABILITIES$439,000
DUE TO RELATED PARTIES$93,223
FieldValueIRS element (for citing)
Total Of Amounts1327543TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt55861303TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4214NetUnrealizedGainsInvestments
Other Revenues289015OtherRevenues
Revenue Not Rptd F990284801RevenueNotRptdF990
Revenue Subtotal55576502RevenueSubtotal
Other Revenues Not Included7500OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7500RevenueNotRptdOnFinStmt
Total Revenue Per Form99055584002TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50598449TotExpensesEtcAuditedFinclStmt
Other Expenses Included289015OtherExpensesIncluded
Expenses Not Rptd F990289015ExpensesNotRptdF990
Expenses Subtotal50309434ExpensesSubtotal
Other Expenses Not Included7500OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt7500ExpensesNotRptdOnFinStmt
Total Expenses Per Form99050316934TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE.
PART X, LINE 2:THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 175,931. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 113,084.PART XI, LINE 2D - OTHER ADJUSTMENTS:
INDIRECT SPECIAL EVENT EXPENSE 7,500.PART XI, LINE 4B - OTHER ADJUSTMENTS:
RENTAL EXPENSES REPORTED ON PART VIII, LINE 6B 175,931. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 113,084.PART XII, LINE 2D - OTHER ADJUSTMENTS:
INDIRECT SPECIAL EVENT EXPENSE 7,500.PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DIAMOND JUBILEENameOfEvent1
Gross Receipts Event1291550GrossReceiptsEvent1
Charitable Contributions Event1187483CharitableContributionsEvent1
Gross Revenue Event1104067GrossRevenueEvent1
Non Cash Prizes Event11988NonCashPrizesEvent1
Rent Facility Costs Event151258RentFacilityCostsEvent1
Food And Beverage Event1299FoodAndBeverageEvent1
Entertainment Event12550EntertainmentEvent1
Other Direct Expenses Event114503OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total291550GrossReceiptsTotal
Charitable Contributions Total187483CharitableContributionsTotal
Gross Revenue Total Events104067GrossRevenueTotalEvents
Non Cash Prizes Total Events1988NonCashPrizesTotalEvents
Rent Facility Costs Total Events51258RentFacilityCostsTotalEvents
Food And Beverage Total Events299FoodAndBeverageTotalEvents
Entertainment Total Events2550EntertainmentTotalEvents
Other Direct Expenses Total Events14503OtherDirectExpensesTotalEvents
Direct Expense Summary Events70598DirectExpenseSummaryEvents
Net Income Summary33469NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CALVERY HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11740 EASTCHESTER ROADAddressLine1
CityBRONXCity
StateNYState
ZIP Code10461ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient131740274EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant7500AmountOfCashGrant
Purpose Of GrantTICKETS/TABLES FOR ANNUAL FUNDRAISERPurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANNMARIE COVONE
SENIOR VP/CFO0428205000108190107952024122057109800
SCOTT P LA RUE
PRESIDENT / CEO05611690893000001779000241220852491089300
RICHARD P BISCOTTI
ADMINISTRATOR18853500085260406000247260262387000
WILLIAM GRIFFO
MEDICAL DIRECTOR1579180000011400000169318000
HELEN YEE
ASST. ADMINISTRATOR13093200000114000247260167058000
AKIA S BLANDON
DIRECTOR OF NURSING15409500085260114000241100198131000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3CATHOLIC 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.
PART I, LINE 4BSCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE CONTRIBUTED $16,500 TO THE PLAN IN 2012 FOR EACH INDIVIDUAL.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE 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 2012 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE "MEMBER" IS CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11MARY MANNING WALSH NURSING HOME COMPANY 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 12CTHE 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 15THE CORPORATION 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. COMPENSATION PAID TO THE ADMINISTRATOR: PLEASE NOTE THAT THE ADMINISTRATOR AS A RELIGIOUS MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. (THE ORDER) HAS TAKEN A VOW OF POVERTY AND IS PROVIDED WITH ZERO (0) COMPENSATION FROM THE HOME. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE ADMINISTRATOR ON BEHALF OF SERVICES PROVIDED TO THE HOME IS INSTEAD PAID TO THE CARMELITE SISTERS OF THE AGED AND INFIRM, INC. RATHER THAN THE INDIVIDUAL. FOR 2012, THE HOME PAID THE ORDER AN AMOUNT OF $229,341 FOR THE SERVICES THE ADMINISTRATOR (SISTER SEAN WILLIAM O'BRIEN) PROVIDED TO THE HOME. TOTAL PAYMENTS IN 2012 TO THE ORDER FROM THE HOME FOR SERVICES PROVIDED BY ALL THE SISTERS WORKING WITHIN THE HOME AMOUNTED TO $525,693.
FORM 990, PART VI, SECTION C, LINE 19THE 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. 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 VII, SECTION A:THE FOLLOWING ORGANIZATIONS, INCLUDING MARY MANNING WALSH NURSING HOME COMPANY, HAVE MIRROR BOARDS: CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NEW YORK, INC., ST. TERESA'S NURSING HOME, KATERI RESIDENCE, CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE, CARMEL RICHMOND NURSING HOME INC., ST. VINCENT DE PAUL RESIDENCE, FERNCLIFF NURSING HOME COMPANY, INC., AND TERENCE CARDINAL COOKE HEALTH CARE CENTER. AT THE BOARD MEETINGS, ALL OF THE ENTITIES ARE DISCUSSED. ON AVERAGE, THE BOARD MEMBERS SPEND ONE HOUR WORKING ON THESE ORGANIZATIONS. ANNMARIE COVONE, SENIOR VP/CFO, AND SCOTT P. LA RUE, PRESIDENT AND CEO, EACH SPEND ON AVERAGE .10 HOURS PER WEEK, WORKING ON THE FILING ORGANIZATION AS WELL AS THE RELATED ENTITIES. THEY SPENT 35 HOURS PER WEEK WORKING FOR CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. THE FOLLOWING BOARD MEMBERS AND OFFICERS OF THE FILING ORGANIZATION ALSO SPENT ON AVERAGE .10 HOURS PER WEEK WORKING ON CATHOLIC MANAGED LONG TERM CARE, INC: KARL P. ADLER MD, FRANCIS J. SERBAROLI ESQ., G.T. SWEENEY, SCOTT P. LA RUE, AND ANNMARIE COVONE. MANFRED ALSTAD AND DR. THOMAS FAHEY JR. ARE BOARD MEMBERS OF CALVARY HOSPITAL, AND SERVE ON AVERAGE, 2 HOURS A WEEK AT CALVARY.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT -103,104. EQUITY TRANSFER TO RELATED PARTY -750,000.CHANGES IN NET ASSETS OR FUND BALANCES:
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

Form990 Schedule R Part II Form990ScheduleRPartII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016133896624MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESENY501(C)(3)9PROVIDENCE HEALTH SERVICES0
CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016134054158PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)7CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
FERNCLIFF NURSING HOME COMPANY INC
21 FERNCLIFF DRIVERHINEBECKNY12572141514053OPERATE SKILLED NURSING FACILITY & ADULT HEALTH CARE PROGRAMNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
KATERI RESIDENCE
150 RIVERSIDE DRIVENEW YORKNY10024133086309OPERATE SKILLED NURSING & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST TERESA'S NURSING HOME INC
120 HIGHLAND AVENUEMIDDLETOWNNY10940237012219OPERATE SKILLED NURSING & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST TERESA'S RESIDENCE
30 SOUTH 10TH AVENUEMT VERNONNY10550133110063INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLEDNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CARMEL RICHMOND NURSING HOME INC
88 OLD TOWN ROADSTATEN ISLANDNY103044299132720248OPERATE SKILLED NURSING & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
TERENCE CARDINAL COOKE HEALTH CARE CENTER
1249 FIFTH AVENUENEW YORKNY10029133007801OPERATE SKILLED NURSING & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST VINCENT DE PAUL RESIDENCE
900 INTERVALE AVENUEBRONXNY10459133598842OPERATE SKILLED NURSING & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CATHOLIC MANAGED LONG TERM CARE INC
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016208180809OPERATE A MANAGED LONG TERM CARE PLANNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CALVARY HOSPITAL
1740 EASTCHESTER ROADBRONXNY10461131740274OPERATE A TAX EXEMPT HOSPITALNY501(C)(3)3CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
OUR LADY OF MERCY HEALTHCARE SYSTEM INC
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016133395946PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)TYPE ICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
OUR LADY OF MERCY FUND OF NEW YORK NY
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016133452084PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)7OUR LADY OF MERCY HEALTHCARE SYSTEM INC0
CALVARY HOLDING COMPANY
1740 EASTCHESTER ROADBRONXNY10461061531426SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONSNY501(C)(3)TYPE ICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
PROVIDENCE HEALTH SERVICES
1011 1ST AVENUENEW YORKNY10022133354940SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARENY501(C)(3)30N/A
CALVARY FUND INC
1740 EASTCHESTER ROADBRONXNY10461133259649SUPPORT CALVARY HOSPITALNY501(C)(3)TYPE ICALVARY HOLDING COMPANY INC0
CATHOLIC RESOURCES INC
1339 YORK AVENUENEW YORKNY10021261306110SUPPORT CATHOLIC MANAGED LONG TERM CARE, INC.NY501(C)(3)3CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST AGNES HOSPITAL
305 NORTH STREETWHITE PLAINSNY10605131740121OPERATE A TAX EXEMPT HOSPITALNY501(C)(3)3CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CATHOLIC HEALTH CARE SYSTEM OF THE HUDSON VALLEY
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)1CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
BENEFICE ADVANTAGE INC
205 LEXINGTON AVE - 2ND FLNEW YORKNY10016134201050PROVIDE ADMINISTRATIVE, BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARENY501(C)(3)1CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ROSALIE HALL INC
4150 BRONX BLVDBRONXNY10466133757241OPERATE AND MAINTAIN A HOME FOR UNMARRIED MOTHERSNY501(C)(3)9OUR LADY OF MERCY HEALTHCARE SYSTEM INC0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OLM DEVELOPMENT CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1205 LEXINGTON AVENUE - 2ND FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
EIN133272992EIN
Primary ActivityHEALTH CARE SERVICESPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF MERCY HEALTH CARE SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg