ST TERESAS NURSING HOME INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST TERESAS NURSING HOME INC (EIN 23-7012219)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349301912
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T09:01:54-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133385019 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'CONNOR DAVIES MUNNS & DOBBINS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1 |
| City | HARRISON | City |
| State | NY | State |
| ZIP Code | 105281633 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237012219 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST TERESA'S NURSING HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STTE | NameControl |
| Phone | 6466334700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 HIGHLAND AVENUE | AddressLine1 |
| City | MIDDLETOWN | City |
| State | NY | State |
| ZIP Code | 10940 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANNMARIE COVONE | Name |
| Title | SENIOR VP & CFO | Title |
| Phone | 6466334700 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARRETT HIGGINS | Name |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | Phone |
| Date Prepared | 2012-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCHCARE AT ST TERESA'S NURSING AND REHABILITATION CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SCOTT P LA RUE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE - 2ND FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8925546 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ARCHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | AN INTIMATE 98-BED SKILLED NURSING AND REHABILITATION FACILITY, ST. TERESA'S NURSING HOME SERVES THE COMMUNITY OF MIDDLETOWN IN ORANGE COUNTY, NEW YORK AND OFFERS A HIGHLY PERSONALIZED AND COMPREHENSIVE LONG-TERM ELDERCARE AND SHORT-TERM REHABILITATION.ST. TERESA'S REPUTATION IN THE MIDDLETOWN AREA IS UNSURPASSED. WE HAVE 25% OF OUR RESIDENTS RETURN HOME TO THE COMMUNITY (AFTER BEING REHABILITATED) ON A REGULAR BASIS. OUR REHABILITATION PROGRAM, WHICH IS SIX DAYS A WEEK, IS RECOGNIZED BY THE COMMUNITY AND AREA HOSPITALS ROUTINELY. ADDITIONALLY, ST. TERESA'S DOES NOT USE AGENCY NURSING STAFF, WHICH HELPS TO ENHANCE ITS HOMELIKE ATMOSPHERE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 197 | TotalNbrEmployees |
| Total Nbr Volunteers | 72 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 12475 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 85 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9197949 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8901696 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1429 | InvestmentIncomePriorYear |
| Investment Income Current Year | 716 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3415 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1024 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9215268 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8903521 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5652235 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5745767 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3210895 | OtherExpensePriorYear |
| Other Expenses Current Year | 3370514 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8863130 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9116281 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 352138 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -212760 | RevenuesLessExpensesCY |
| Total Assets BOY | 4742650 | TotalAssetsBOY |
| Total Assets EOY | 3367568 | TotalAssetsEOY |
| Total Liabilities BOY | 6235525 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5060192 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1492875 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1692624 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE NURSING HOME IS DEVOTED TO CARING FOR THE SICK AND DISABLED WITH COMPASSION IN THE TRADITION OF CATHOLIC HEALTH CARE. IT SEEKS TO DELIVER HIGH QUALITY CARE, TO TREAT ALL PATIENTS WITH DIGNITY, AND TO PROVIDE A CARING ENVIRONMENT FOR PATIENTS AT THE NURSING HOME. AS A PARTICIPATING MEMBER OF THE CATHOLIC HEALTH CARE SYSTEM, THE NURSING HOME IS ALSO COMMITTED TO FURTHERING THE SYSTEM'S ABILITY TO PROMOTE HIGH QUALITY CARE, TO ENHANCE ITS SERVICES, AND TO OPERATE EFFECTIVELY AS A HEALTH CARE SYSTEM. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7954969 | Expense |
| Revenue | 8901539 | Revenue |
| Description | CARE SERVICES AT ST. TERESA'S 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. DURING 2011 THE ORGANIZATION PROVIDED APPROXIMATELY 34,904 DAYS OF CARE TO 258 PATIENTS. | Description |
| Total Program Service Expense | 7954969 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 197 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANNMARIE COVONE | NamePerson |
| Telephone Number | 6466334702 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVE - 2ND FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| KARL P ADLER | |||||||||
| VICE-CHAIRMAN & SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| MANFRED ALTSTADT | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MSGR WILLIAM BELFORD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| WALTER M CADETTE | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN T DUNLAP | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MSGR CHARLES J FAHEY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS J FAHEY JR MD | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| BERNARD P GAWLEY | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| RORY KELLEHER | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN MARINELLI | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| THOMAS M O'BRIEN | |||||||||
| VICE-CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| SISTER PATRICIA RAWDON | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| FRANCIS J SERBAROLI ESQ | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| JOAN M SQUIRES | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| DOMINICK M STANZIONE | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| BISHOP DENNIS SULLIVAN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| GT SWEENEY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| SISTER ANTHONY VEILLEUX | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| ROGER G WEAVING | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| JOSEPH P ANDERSON | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ERIC P FELDMANN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MSGR GREGORY MUSTACIUOLO | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| KATHRYN ROONEY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MOTHER M MARK LOUIS OCARM | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ANNMARIE COVONE | |||||||||
| SENIOR VP/CFO | 0.10 | X | 0 | 408824 | 49446 | ||||
| DOUGLAS SANSTED SECRETARY | |||||||||
| TERM ENDED IN JUNE 2011 | 1.00 | X | 0 | 0 | 0 | ||||
| SCOTT P LA RUE | |||||||||
| PRESIDENT & CEO | 0.10 | X | 0 | 457517 | 139344 | ||||
| MICHAEL CHAIKEN | |||||||||
| ADMINISTRATOR | 40.00 | 176306 | 0 | 11400 | X | ||||
| DEBORAH ANN GRANATA | |||||||||
| DIRECTOR OF NURSING | 40.00 | 105242 | 0 | 26407 | X | ||||
| JAMES E INTRONE | |||||||||
| FORMER PRESIDENT / CEO | 0.00 | 0 | 993832 | 12506 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 281548 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1860173 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 239103 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | NUTRITIONAL MANAGEMENT | 887820 |
| CATHOLIC HEALTH CARE SYSTEM | |||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | ADMINISTRATIVE & CONSULTING SERVICES | 748668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 85 | AllOtherContributions |
| Total Contributions | 85 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 623000 | 4235518 | 4235518 |
| MEDICARE | 623000 | 2406487 | 2406487 |
| PRIVATE PATIENT | 623000 | 1684623 | 1684623 |
| OTHER PATIENT REVENUE | 623000 | 575068 | 575068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8901696 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 716 | TotalRevenueColumn |
| Exclusion | $716 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 21868 | GrossSalesOfInventory |
| Cost Of Goods Sold | 22025 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -157 | TotalRevenueColumn |
| Related Or Exempt Function Income | -157 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| INCOME ON PAST DUE ACC | 900099 | 1099 | $1,099 |
| MISCELLANEOUS | 900099 | 82 | $82 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1181 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8903521 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8901539 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,897 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188771 | Total |
| Management And General | 188771 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3908671 | Total |
| Program Services | 3794000 | ProgramServices |
| Management And General | 114671 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322444 | Total |
| Program Services | 309983 | ProgramServices |
| Management And General | 12461 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 795022 | Total |
| Program Services | 736277 | ProgramServices |
| Management And General | 58745 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 530859 | Total |
| Program Services | 492917 | ProgramServices |
| Management And General | 37942 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 344631 | Total |
| Management And General | 344631 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7784 | Total |
| Management And General | 7784 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33000 | Total |
| Management And General | 33000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3323 | Total |
| Management And General | 3323 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328112 | Total |
| Program Services | 296725 | ProgramServices |
| Management And General | 31387 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258 | Total |
| Management And General | 258 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461048 | Total |
| Program Services | 392439 | ProgramServices |
| Management And General | 68609 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30059 | Total |
| Management And General | 30059 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267742 | Total |
| Program Services | 256093 | ProgramServices |
| Management And General | 11649 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4701 | Total |
| Program Services | 1062 | ProgramServices |
| Management And General | 3639 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756 | Total |
| Management And General | 756 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157524 | Total |
| Program Services | 149435 | ProgramServices |
| Management And General | 8089 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163882 | Total |
| Management And General | 163882 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| NYS CASH RECEIPT ASSESS | 485942 | 485942 | |
| PURCH & CONTRACTED SERV | 450493 | 432228 | 18265 |
| BAD DEBT | 263548 | 263548 | |
| MEDICATIONS | 209968 | 209968 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157743 | Total |
| Program Services | 134352 | ProgramServices |
| Management And General | 23391 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9116281 | Total |
| Program Services | 7954969 | ProgramServices |
| Management And General | 1161312 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 318057 | BOY |
| EOY | 113471 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467069 | BOY |
| EOY | 437117 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1572062 | BOY |
| EOY | 1462727 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50973 | BOY |
| EOY | 51992 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5302869 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4550751 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 871761 | BOY |
| EOY | 752118 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38977 | BOY |
| EOY | 18997 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1423751 | BOY |
| EOY | 531146 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4742650 | BOY |
| EOY | 3367568 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2432449 | BOY |
| EOY | 1313554 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55900 | BOY |
| EOY | 36336 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246524 | BOY |
| EOY | 91524 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3500652 | BOY |
| EOY | 3618778 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6235525 | BOY |
| EOY | 5060192 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1492875 | BOY |
| EOY | -1692624 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1492875 | BOY |
| EOY | -1692624 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4742650 | BOY |
| EOY | 3367568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -212760 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 13011 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25255 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 170039 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2490 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12475 | CurrentTaxYearMinus1Year |
| Current Tax Year | 85 | CurrentTaxYear |
| Total | 210344 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7491413 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7935317 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8923205 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9197949 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8923564 | CurrentTaxYear |
| Total | 42471448 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7516668 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8105356 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8925695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9210424 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8923649 | CurrentTaxYear |
| Total | 42681792 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 42681792 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6072 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2273 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1429 | CurrentTaxYearMinus1Year |
| Current Tax Year | 794 | CurrentTaxYear |
| Total | 20501 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6072 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9933 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2273 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1429 | CurrentTaxYearMinus1Year |
| Current Tax Year | 794 | CurrentTaxYear |
| Total | 20501 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21362 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14542 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1026 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3415 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1181 | CurrentTaxYear |
| Total | 41526 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7544102 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8129831 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8928994 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9215268 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8925624 | CurrentTaxYear |
| Total | 42743819 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99850 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99790 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00100 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME INCOME ON PAST DUE ACCOUNTS | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,323 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3323 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | ST. TERESA'S NURSING HOME, INC. PAYS DUES TO LOCAL 1199 - HEALTH EDUCATION PROJECT (LOCAL 1199). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY LOCAL 1199, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2011 LOCAL 1199 DUES WAS $3,323. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75000 | OtherCostOrOtherBasis |
| Book Value | 75000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3620531 | OtherCostOrOtherBasis |
| Depreciation | 3184369 | Depreciation |
| Book Value | 436162 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1505927 | OtherCostOrOtherBasis |
| Depreciation | 1290547 | Depreciation |
| Book Value | 215380 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 101411 | OtherCostOrOtherBasis |
| Depreciation | 75835 | Depreciation |
| Book Value | 25576 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 752118 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER NON-CURRENT ASSETS | 13146 |
| INSURANCE RECOVERIES RECEIVABLE | 518000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 531146 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO RELATED PARTIES | $2,059,097 |
| DUE TO THIRD-PARTY PAYORS | $178,770 |
| ASSET RETIREMENT OBLIGATION | $19,600 |
| ACCRUED PENSION LIABILITY | $517,978 |
| SELF INSURED LIABILITIES | $325,333 |
| PROFESSIONAL LIABILITIES | $518,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3618778 | TotalOfAmounts |
| Total Revenue | 8903521 | TotalRevenue |
| Total Expenses | 9116281 | TotalExpenses |
| Excess Or Deficit For Year | -212760 | ExcessOrDeficitForYear |
| Other | $13,011 | OtherAmount |
| Total Adjustments | 13011 | TotalAdjustments |
| Excess Or Deficit Per FS | -199749 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8925546 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 22025 | OtherRevenues |
| Revenue Not Rptd F990 | 22025 | RevenueNotRptdF990 |
| Revenue Subtotal | 8903521 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8903521 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9138306 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 22025 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 22025 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9116281 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9116281 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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: | 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, 2008. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| PENSION LIABILITY ADJUSTMENT 13,011. | PART XI, LINE 8 - OTHER ADJUSTMENTS: | |
| COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 22,025. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 22,025. | PART XIII, LINE 2D - OTHER ADJUSTMENTS: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANNMARIE COVONE | |||||||||||||
| 0 | 400466 | 0 | 0 | 0 | 8358 | 0 | 27900 | 0 | 21546 | 0 | 458270 | 0 | 0 |
| SCOTT P LA RUE | |||||||||||||
| 0 | 456038 | 0 | 0 | 0 | 1479 | 0 | 117200 | 0 | 22144 | 0 | 596861 | 0 | 0 |
| MICHAEL CHAIKEN | |||||||||||||
| 176306 | 0 | 0 | 0 | 0 | 0 | 11400 | 0 | 0 | 0 | 187706 | 0 | 0 | 0 |
| JAMES E INTRONE | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 993832 | 0 | 0 | 0 | 12506 | 0 | 1006338 | 0 | 369000 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. IN 2008, THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. |
| PART I, LINES 4A-B | JAMES 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 ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE "MEMBER" IS CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE "MEMBER" HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES, APPOINT THE CHAIRMAN OF THE BOARD, AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE "MEMBER" HAS THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY ON CONFLICTS OF INTEREST IS DESIGNED TO PROVIDE GUIDANCE TO ALL MEMBERS OF THE BOARD, THE OFFICERS OF THE ORGANIZATION, AND TO ALL PERSONS EMPLOYED BY THE ORGANIZATION. A BOARD MEMBER OR OFFICER SHALL DISCLOSE ANY CONFLICT OF INTEREST OF WHICH HE OR SHE HAS KNOWLEDGE: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS OR HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE ORGANIZATION; (C) AS SOON AS POSSIBLE AFTER THE BOARD MEMBER OR OFFICER SHALL LEARN OF A CONFLICT OF INTEREST IN ANY OTHER CONTEXT. DISCLOSURE OF THE MATERIAL FACTS SURROUNDING THE BOARD MEMBER OR OFFICER'S CONFLICT OF INTEREST SHALL BE MADE TO THE SECRETARY OF THE BOARD OF MANAGERS OR, IN THE CASE OF A COMMITTEE, TO THE CHAIRPERSON OF THAT COMMITTEE (WHO SHALL NOTIFY THE SECRETARY). THE SECRETARY OR COMMITTEE CHAIRPERSON SHALL INFORM THE OTHER MEMBERS OF THE BOARD OR COMMITTEES PRIOR TO ANY ACTION THEREON. FAILURE TO DISCLOSE ADEQUATELY A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SHALL CONSTITUTE CAUSE FOR REMOVAL FROM THE BOARD. FOLLOWING RECEIPT OF INFORMATION CONCERNING A CONTRACT OR TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE BOARD SHALL CONSIDER THE MATERIAL FACTS CONCERNING THE PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED. (A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED BOARD MEMBER MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE AT WHICH DISCUSSION OR A VOTE ON THE TRANSACTION OR ARRANGEMENT TAKES PLACE. (B) AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT USE PERSONAL INFLUENCE WITH REGARD TO THE BOARD'S DETERMINATION THAT A CONFLICT EXISTS OR THE BOARD'S VOTE ON THE MATTER. (C) IF APPROPRIATE, THE CHAIRPERSON SHALL APPOINT A DISINTERESTED PERSON OR A COMMITTEE OF THE BOARD TO CONDUCT AN ASSESSMENT OF FAIR MARKET VALUE FOR A PARTICULAR TRANSACTION, OR TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (D) THE BOARD SHALL APPROVE ONLY THOSE CONTRACTS OR TRANSACTIONS IN WHICH THE TERMS ARE FAIR AND REASONABLE TO THE ORGANIZATION AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION. THE MINUTES OF THE BOARD AND OF ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL OR OTHER INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE CONTENT OF THE DISCUSSION, INCLUDING CONSIDERATION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND THE NATURE OF AND SOURCE OF ANY DATA RELIED UPON IN MAKING AN ASSESSMENT OF FAIR MARKET VALUE, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; AND (C) IN ANY CASE WHEN THE BOARD APPROVES AN ARRANGEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE MINUTES OF THE MEETING SHALL SET FORTH THE BASIS FOR THE BOARD'S DECISION. AN EMPLOYEE OF THE ORGANIZATION WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS OR HER SUPERVISOR. THE EMPLOYEE SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN ANY DECISIONS RELATING TO THE MATTER AND FOLLOW THE DIRECTION OF THE SUPERVISOR AS TO HOW THE ORGANIZATION'S DECISIONS WHICH ARE THE SUBJECT OF THE CONFLICT WILL BE DETERMINED. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE THE ORGANIZATION'S DECISIONS WHICH INVOLVE UNRESOLVED EMPLOYEE CONFLICTS OF INTEREST. IN MAKING SUCH DETERMINATIONS, THE COMPLIANCE DIRECTOR OF THE ORGANIZATION MAY CONSULT WITH LEGAL COUNSEL, AS APPROPRIATE. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL REPORT TO THE BOARD AT LEAST ANNUALLY CONCERNING EMPLOYEE CONFLICTS OF INTEREST WHICH HAVE BEEN DISCLOSED AND CONTRACTS AND TRANSACTIONS INVOLVING EMPLOYEE CONFLICTS WHICH THE SECRETARY OF THE ORGANIZATION'S BOARD OF MANAGERS HAS APPROVED. EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEE OF THE ORGANIZATION SHALL SIGN A STATEMENT WITHIN 30 DAYS OF ASSUMING SUCH RESPONSIBILITY, AND ANNUALLY THEREAFTER, AFFIRMING THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE ORGANIZATION CANNOT ENGAGE IN A TRANSACTION OR ENTER INTO A COMPENSATION ARRANGEMENT WITH BOARD MEMBERS, OFFICERS, SENIOR STAFF MEMBERS, OR OTHERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THAT PROVIDES AN ECONOMIC BENEFIT TO SUCH PERSON IN EXCESS OF THE CONSIDERATION OR SERVICES THAT THE ORGANIZATION RECEIVES IN RETURN. IN ADDITION, THOSE INDIVIDUALS COMPLETING THE STATEMENT ARE ALSO REQUIRED TO DISCLOSE PERSONAL OR OTHER BUSINESS INTERESTS THAT COULD GIVE RISE TO CONFLICTS WITH THEIR ROLE WITH ARCHCARE. THESE STATEMENTS ARE SUMMARIZED AND PROVIDED TO THE GOVERNING BODY ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE 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 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, 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 ST. TERESA'S NURSING HOME, HAVE MIRROR BOARDS: MARY MANNING WALSH NURSING HOME COMPANY, CARMEL RICHMOND NURSING HOME INC., CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NEW YORK, INC., CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE, ST. VINCENT DE PAUL RESIDENCE, KATERI 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 5: | PENSION LIABILITY ADJUSTMENT 13,011. TOTAL TO FORM 990, PART XI, LINE 5: 13,011. | 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133896624 | MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESE | NY | 501(C)(3) | 9 | PROVIDENCE HEALTH SERVICES | 0 | |
| CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 134054158 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | 7 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| FERNCLIFF NURSING HOME COMPANY INC | |||||||||||
| 21 FERNCLIFF DRIVE | RHINEBECK | NY | 12572 | 141514053 | OPERATE SKILLED NURSING FACILITY & ADULT HEALTH CARE PROGRAM | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| KATERI RESIDENCE | |||||||||||
| 150 RIVERSIDE DRIVE | NEW YORK | NY | 10024 | 133086309 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| MARY MANNING WALSH NURSING HOME COMPANY INC | |||||||||||
| 1339 YORK AVENUE | NEW YORK | NY | 100214707 | 136220617 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| ST THERESA'S RESIDENCE | |||||||||||
| 30 SOUTH 10TH AVENUE | MT VERNON | NY | 10550 | 133110063 | INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| ST VINCENT DE PAUL RESIDENCE | |||||||||||
| 900 INTERVALE AVENUE | BRONX | NY | 10459 | 133598842 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CARMEL RICHMOND NURSING HOME INC | |||||||||||
| 88 OLD TOWN ROAD | STATEN ISLAND | NY | 103044299 | 132720248 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| TERENCE CARDINAL COOKE HEALTH CARE CENTER | |||||||||||
| 1249 FIFTH AVENUE | NEW YORK | NY | 10029 | 133007801 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC MANAGED LONG TERM CARE INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 208180809 | OPERATE A MANAGED LONG TERM CARE PLAN | NY | 501(C)(3) | 9 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CALVARY HOSPITAL INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 131740274 | OPERATE A TAX EXEMPT HOSPITAL | NY | 501(C)(3) | 3 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| OUR LADY OF MERCY HEALTHCARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133395946 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | TYPE I | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| OUR LADY OF MERCY FUND OF NEW YORK NY | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133452084 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | 7 | OUR LADY OF MERCY HEALTHCARE SYSTEM INC | 0 | |
| CALVARY HOLDING COMPANY | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 061531426 | SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS | NY | 501(C)(3) | TYPE I | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| PROVIDENCE HEALTH SERVICES | |||||||||||
| 1011 1ST AVENUE | NEW YORK | NY | 10022 | 133354940 | SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE | NY | 501(C)(3) | 3 | 0 | N/A | |
| CALVARY FUND INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 133259649 | SUPPORT CALVARY HOSPITAL | NY | 501(C)(3) | TYPE I | CALVARY HOLDING COMPANY INC | 0 | |
| CATHOLIC RESOURCES INC | |||||||||||
| 1339 YORK AVENUE | NEW YORK | NY | 10021 | 261306110 | SUPPORT CATHOLIC MANAGED LONG TERM CARE, INC. | NY | 501(C)(3) | 1 | CATHOLIC MANAGED LONG TERM CARE INC | 0 | |
| ST AGNES HOSPITAL | |||||||||||
| 305 NORTH STREET | WHITE PLAINS | NY | 10605 | 131740121 | OPERATE A TAX EXEMPT HOSPITAL | NY | 501(C)(3) | 3 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC HEALTH CARE SYSTEM OF THE HUDSON VALLEY | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | 1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | ||
| BENEFICE ADVANTAGE INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 134201050 | PROVIDE ADMINISTRATIVE, BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE | NY | 501(C)(3) | 1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| ROSALIE HALL INC | |||||||||||
| 4150 BRONX BLVD | BRONX | NY | 10466 | 133757241 | OPERATE AND MAINTAIN A HOME FOR UNMARRIED MOTHERS | NY | 501(C)(3) | 9 | OUR LADY OF MERCY HEALTHCARE SYSTEM INC | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLM DEVELOPMENT CORPORATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE - 2ND FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133272992 | EIN |
| Primary Activity | HEALTH CARE SERVICES | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF MERCY HEALTH CARE SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |