STRATEGY STUDIO / PUBLIC DATA EXPLORER

ST VINCENT DE PAUL RESIDENCE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT DE PAUL RESIDENCE (EIN 13-3598842)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349301776
Schema version
2011v1.2
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)
Timestamp2012-11-15T09:01:54-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN133385019EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES MUNNS & DOBBINS 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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133598842EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT DE PAUL RESIDENCEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTVINameControl
Phone6466334700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 INTERVALE AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10459ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNMARIE COVONEName
TitleSENIOR VP & CFOTitle
Phone6466334700Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT HIGGINSName
PTINP00543209PTIN
Phone9143818900Phone
Date Prepared2012-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SAN VICENTE DE PAUL SKILLED NURSING ANDBusinessNameLine1
Business Name Line2REHABILITATION CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSCOTT 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 Receipts16991781GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.ARCHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionLOCATED IN THE BRONX, ARCHCARE AT ST. VINCENT DE PAUL IS A 200-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.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees254TotalNbrEmployees
Total Nbr Volunteers58TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13160269ContributionsGrantsPriorYear
Contributions Grants Current Year3620728ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21191403ProgramServiceRevenuePriorYear
Program Service Revenue CY13247276ProgramServiceRevenueCY
Investment Income Prior Year-2557InvestmentIncomePriorYear
Investment Income Current Year5668InvestmentIncomeCurrentYear
Other Revenue Prior Year12757OtherRevenuePriorYear
Other Revenue Current Year-23269OtherRevenueCurrentYear
Total Revenue Prior Year34361872TotalRevenuePriorYear
Total Revenue Current Year16850403TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13617916SalariesEtcPriorYear
Salaries Etc Current Year11472494SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10015083OtherExpensePriorYear
Other Expenses Current Year6429627OtherExpensesCurrentYear
Total Expenses Prior Year23632999TotalExpensesPriorYear
Total Expenses Current Year17902121TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10728873RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1051718RevenuesLessExpensesCY
Total Assets BOY16308129TotalAssetsBOY
Total Assets EOY11996354TotalAssetsEOY
Total Liabilities BOY12455295TotalLiabilitiesBOY
Total Liabilities EOY8965341TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3852834NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3031013NetAssetsOrFundBalancesEOY
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
Expense16535352Expense
Revenue13249512Revenue
DescriptionCARE 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 2011, THE FACILITY PROVIDED 49,934 DAYS OF SKILLED NURSING CARE TO OVER 289 PATIENTS.Description
Total Program Service Expense16535352TotalProgramServiceExpense
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 Assets1ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees254NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
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 AVENUE - 2ND FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KARL P ADLER
VICE-CHAIRMAN & SECRETARY1.00XX000
MANFRED ALTSTADT
BOARD MEMBER1.00X000
MSGR WILLIAM BELFORD
BOARD MEMBER1.00X000
WALTER M CADETTE
TERM ENDED IN JUNE 20111.00X000
JOHN T DUNLAP
BOARD MEMBER1.00X000
MSGR CHARLES J FAHEY
BOARD MEMBER1.00X000
THOMAS J FAHEY JR MD
BOARD MEMBER1.00X000
BERNARD P GAWLEY
TERM ENDED IN JUNE 20111.00X000
RORY KELLEHER
BOARD MEMBER1.00X000
JOHN MARINELLI
BOARD MEMBER1.00X000
THOMAS M O'BRIEN
VICE-CHAIR1.00XX000
SISTER PATRICIA RAWDON
TERM ENDED IN JUNE 20111.00X000
FRANCIS J SERBAROLI ESQ
CHAIRMAN1.00XX000
JOAN M SQUIRES
TERM ENDED IN JUNE 20111.00X000
DOMINICK M STANZIONE
TERM ENDED IN JUNE 20111.00X000
BISHOP DENNIS SULLIVAN
BOARD MEMBER1.00X000
GT SWEENEY
BOARD MEMBER1.00X000
SISTER ANTHONY VEILLEUX
TERM ENDED IN JUNE 20111.00X000
ROGER G WEAVING
TERM ENDED IN JUNE 20111.00X000
JOSEPH P ANDERSON
BOARD MEMBER1.00X000
ERIC P FELDMANN
BOARD MEMBER1.00X000
MSGR GREGORY A MUSTACIUOLO
BOARD MEMBER1.00X000
KATHRYN ROONEY
BOARD MEMBER1.00X000
MOTHER M MARK LOUIS OCARM
BOARD MEMBER1.00X000
ANNMARIE COVONE
SENIOR VP/CFO0.10X040882449446
DOUGLAS SANSTED SECRETARY
TERM ENDED IN JUNE 20111.00X000
SCOTT P LA RUE
PRESIDENT & CEO0.10X0457517139344
MILAGROS SANTIAGO
ADMINISTRATOR37.5021506507433X
MARK G BELFATTO
DIRECTOR OF SUPPORT SERVICES37.50100469033544X
NINA M JOSE
ASST. DIRECTOR OF NURSING37.50105788026008X
OPAL WILLIAMS-SIMMS
DIRECTOR OF NURSING37.50133148021821X
JAMES E INTRONE
FORMER PRESIDENT / CEO0.00099383212506X
FieldValueIRS element (for citing)
Total Reportable Comp From Org554470TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1860173TotalReportableCompFrmRltdOrgs
Total Other Compensation290102TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed1FormersListed
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
MORRISON SENIOR DINING
PO BOX 102289ATLANTAGA30368FOOD SERVICES1951733
CATHOLIC HEALTH CARE SYSTEM
205 LEXINGTON AVENUE 2ND FLOORNEW YORKNY10016ADMINISTRATIVE & CONSULTING SERVICES471699
ACCESS CAPITAL INC
405 PARK AVENUE 16TH FLOORNEW YORKNY10022STAFFING AGENCY234783
OCEAN SIDE INSTITUTIONAL
2525 LONG BEACH ROADOCEAN SIDENY11572LAUNDRY SERVICES230271
RCM TECHNOLOGIES
PO BOX 7777 W0570PHILADELPHIAPA19175REHAB. AGENCY228272
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants3591828GovernmentGrants
All Other Contributions28900AllOtherContributions
Total Contributions3620728TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6230001036841910368419
OTHER PATIENT REVENUE62300010056051005605
MEDICARE623000976097976097
PRIVATE PAY623000897155897155
FieldValueIRS element (for citing)
Total Program Service Revenue13247276TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5668TotalRevenueColumn
Exclusion$5,668ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real108919Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real137652Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-28733Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-28733TotalRevenueColumn
Exclusion-$28,733ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory5962GrossSalesOfInventory
Cost Of Goods Sold3726CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2236TotalRevenueColumn
Related Or Exempt Function Income2236RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL RECORDS9000991456$1,456
INTEREST ON PAST DUE A9000991255$1,255
OTHER INCOME900099498$498

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column19TotalRevenueColumn
Exclusion$19ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3228TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16850403TotalRevenueColumn
Related Or Exempt Function Income13249512RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$19,837ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total224515Total
Management And General224515ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7771937Total
Program Services7668850ProgramServices
Management And General103087ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total432362Total
Program Services415035ProgramServices
Management And General17327ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1968063Total
Program Services1896326ProgramServices
Management And General71737ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1075617Total
Program Services1032510ProgramServices
Management And General43107ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24247Total
Management And General24247ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42000Total
Management And General42000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total14231Total
Management And General14231ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total812771Total
Program Services685925ProgramServices
Management And General126846ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total539Total
Management And General539ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total640968Total
Program Services563715ProgramServices
Management And General77253ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total52254Total
Management And General52254ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total559192Total
Program Services531767ProgramServices
Management And General27425ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6133Total
Program Services2108ProgramServices
Management And General4025ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21940Total
Program Services3730ProgramServices
Management And General18210ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total608006Total
Program Services595492ProgramServices
Management And General12514ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total360470Total
Management And General360470ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED & CONTRACTED11652601041448123812
NYS CASH RECEIPT ASSESS947353947353
BAD DEBT811373811373
MEDICATIONS202000202000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total160890Total
Program Services137720ProgramServices
Management And General23170ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17902121Total
Program Services16535352ProgramServices
Management And General1366769ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY290859BOY
EOY342957EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY177692BOY
EOY137189EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1316385BOY
EOY1195135EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5477305BOY
EOY2038911EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY70913BOY
EOY66295EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY133111BOY
EOY96476EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23791099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17052390LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7421542BOY
EOY6738709EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1420322BOY
EOY1380682EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16308129BOY
EOY11996354EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6336909BOY
EOY2475481EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY177692BOY
EOY137189EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY52566BOY
EOY17726EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5888128BOY
EOY6334945EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12455295BOY
EOY8965341EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3852834BOY
EOY3031013EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3852834BOY
EOY3031013EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16308129BOY
EOY11996354EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1051718ReconcilationRevenueExpenses
Reconcilation Other Changes229897ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years5104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years206836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1682CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13160269CurrentTaxYearMinus1Year
Current Tax Year3620728CurrentTaxYear
Total16994619Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20083653CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20389452CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23296576CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20988159CurrentTaxYearMinus1Year
Current Tax Year13253238CurrentTaxYear
Total98011078Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20088757CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20596288CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23298258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34148428CurrentTaxYearMinus1Year
Current Tax Year16873966CurrentTaxYear
Total115005697Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509115005697PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178074CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74846CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17951CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year99625CurrentTaxYearMinus1Year
Current Tax Year114587CurrentTaxYear
Total485083Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178074CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74846CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17951CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year99625CurrentTaxYearMinus1Year
Current Tax Year114587CurrentTaxYear
Total485083Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34801CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30909CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9171CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4996CurrentTaxYearMinus1Year
Current Tax Year3228CurrentTaxYear
Total83105Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20301632CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20702043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23325380CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34253049CurrentTaxYearMinus1Year
Current Tax Year16991781CurrentTaxYear
Total115573885Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99510PublicSupportPercentage509
Prior Year Support Percentage0.99470PriorYearSupportPercentage
Investment Income Percentage0.00420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00440PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME CAFETERIA / VENDING MACHINES BEAUTY SHOP REBATES MEDICAL RECORDS INCOME FROM PAST DUE ACCOUNTSGeneralExplanation

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$14,231OtherActivitiesAmount
Total Lobbying Expenditures IIB14231TotalLobbyingExpendituresIIB
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
ExplanationST. VINCENT DE PAUL RESIDENCE PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC) AND LOCAL 1199 - HEALTH EDUCATION PROJECT (LOCAL 1199). 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 2011 CCLC AND LOCAL 1199 DUES WAS $5,290 AND $8,941, RESPECTIVELY.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis135000OtherCostOrOtherBasis
Book Value135000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21166439OtherCostOrOtherBasis
Depreciation15094930Depreciation
Book Value6071509BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2397080OtherCostOrOtherBasis
Depreciation1957460Depreciation
Book Value439620BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis92580OtherCostOrOtherBasis
Book Value92580BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6738709TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLE24276
DUE FROM RELATED PARTIES126406
INSURANCE RECOVERIES RECEIVABLE1230000
FieldValueIRS element (for citing)
Total Book Value Other Assets1380682TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATION$40,000
DUE TO RELATED PARTIES$3,173,959
DUE TO THIRD-PARTY PAYORS$1,302,757
ACCRUED PENSION LIABILITY$152,365
SELF-INSURED LIABILITY$435,864
PROFESSIONAL LIABILITIES$1,230,000
FieldValueIRS element (for citing)
Total Of Amounts6334945TotalOfAmounts
Total Revenue16850403TotalRevenue
Total Expenses17902121TotalExpenses
Excess Or Deficit For Year-1051718ExcessOrDeficitForYear
Other$229,897OtherAmount
Total Adjustments229897TotalAdjustments
Excess Or Deficit Per FS-821821ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16991781TotRevenueEtcAuditedFinclStmt
Other Revenues141378OtherRevenues
Revenue Not Rptd F990141378RevenueNotRptdF990
Revenue Subtotal16850403RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016850403TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18043499TotExpensesEtcAuditedFinclStmt
Other Expenses Included141378OtherExpensesIncluded
Expenses Not Rptd F990141378ExpensesNotRptdF990
Expenses Subtotal17902121ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017902121TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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: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, 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
PENSION LIABILITY ADJUSTMENT 229,897.PART XI, LINE 8 - OTHER ADJUSTMENTS:
RENT EXPENSES REPORTED ON PART VIII, LINE 6B 137,652. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 3,726.PART XII, LINE 2D - OTHER ADJUSTMENTS:
RENT EXPENSES REPORTED ON PART VIII, LINE 6B 137,652. COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 3,726.PART XIII, LINE 2D - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
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 (5 entries)

Base 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
04004660008358027900021546045827000
SCOTT P LA RUE
045603800014790117200022144059686100
MILAGROS SANTIAGO
206707000835807433000222498000
OPAL WILLIAMS-SIMMS
1331480000000218210154969000
JAMES E INTRONE
0000099383200012506010063380369000

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, LINES 4A-BJAMES INTRONE RECEIVED A SEVERANCE PAYMENT OF $555,734 PAID BY CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. HE ALSO RECEIVED A PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT OF $438,098 PAID BY CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. SCOTT 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 2011 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.
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 11ST. 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 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 ORGANIZATION 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.
FORM 990, PART VI, SECTION C, LINE 19THE 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, 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 ATHE FOLLOWING ORGANIZATIONS, INCLUDING ST. VINCENT DE PAUL RESIDENCE, 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., FERNCLIFF NURSING HOME COMPANY, INC., MARY MANNING WALSH NURSING HOME COMPANY, 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 A WEEK SERVING ON THE BOARD. 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 WORK ON AVERAGE, 2 HOURS A WEEK AT CALVARY.
FORM 990, PART XI, LINE 5:PENSION LIABILITY ADJUSTMENT 229,897. TOTAL TO FORM 990, PART XI, LINE 5: 229,897.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE 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 INC
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 FACILITY & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
MARY MANNING WALSH NURSING HOME COMPANY INC
1339 YORK AVENUENEW YORKNY100214707136220617OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST TERESA'S NURSING HOME INC
120 HIGHLAND AVENUEMIDDLETOWNNY10940237012219OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST THERESA'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 FACILITY & REHABILITATION FACILITYNY501(C)(3)9CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
TERENCE CARDINAL COOKE HEALTH CARE CENTER
1249 FIFTH AVENUENEW YORKNY10029133007801OPERATE SKILLED NURSING FACILITY & 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 INC
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)1CATHOLIC MANAGED LONG TERM CARE INC0
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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg