2023-11-13T22:16:46-06:00 2022-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2022-01-01 813563801 ARCHCARE COMMUNITY SERVICES INC ARCH 6466334700 205 LEXINGTON AVENUE 2ND FLOOR NEW YORK NY 10016 ANNMARIE COVONE EXECUTIVE VP & CFO 6466334700 2023-11-13 1 ANNMARIE COVONE XXX-XX-XXXX 1 GARRETT M HIGGINS P00543209 9143818900 2023-11-06 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z SCOTT P LA RUE 205 LEXINGTON AVENUE 2ND FLOOR NEW YORK NY 10016 4112579 0 0928 X N/A X 2016 NY THE ORGANIZATION'S MISSION IS TO PROVIDE A COMMUNITY RESOURCE FOR INFORMATION REGARDING AVAILABLE SOCIAL AND HEALTH CARE SERVICES; TO PROVIDE COMMUNITY AND PASTORAL SERVICES, AS WELL AS TRANSITIONAL AND SUPPORTIVE HOUSING, FOR THE FRAIL ELDERLY AND OTHER VULNERABLE POPULATIONS, AND TO ADVANCE THE PURPOSE AND MISSION OF THE CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. 22 22 123 23 0 0 4381186 3261897 759050 845888 73 1115 14443 3679 5154752 4112579 0 0 0 0 8774888 8793992 0 0 0 4782233 3656018 13557121 12450010 -8402369 -8337431 11355328 13070279 7778478 9414204 3576850 3656075 X THE ORGANIZATION'S MISSION IS TO PROVIDE A COMMUNITY RESOURCE FOR INFORMATION REGARDING AVAILABLE SOCIAL AND HEALTH CARE SERVICES; TO PROVIDE COMMUNITY AND PASTORAL SERVICES, AS WELL AS TRANSITIONAL AND SUPPORTIVE HOUSING, FOR THE FRAIL ELDERLY AND OTHER VULNERABLE POPULATIONS, AND TO ADVANCE THE PURPOSE AND MISSION OF THE CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. 0 0 4158949 0 845888 ARCHCARE COMMUNITY SERVICES SUPPORTS THE PROGRAMS AND SERVICES OF THE CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE AS WELL AS ACT AS A COMMUNITY RESOURCE FOR THE ELDERLY AND OTHER VUNERABLE POPULATIONS, TO PROVIDE SUPPORTIVE HOUSING, PASTORAL CARE AND COMMUNITY SERVICES, WITH COMPASSION IN THE TRADITION OF THE CATHOLIC CHURCH. 4158949 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 123 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANNMARIE COVONE 6466334700 205 LEXINGTON AVENUE 2ND FLOOR NEW YORK NY 10016 FRANCIS J SERBAROLI ESQ CHAIRMAN 0.10 1.70 X X 0 0 0 THOMAS M O'BRIEN VICE-CHAIR 0.10 1.70 X X 0 0 0 DR TARA A CORTES SECRETARY 0.10 1.70 X X 0 0 0 THOMAS E ALBERTO BOARD MEMBER 0.10 1.70 X 0 0 0 STEVE BUJNO BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN CAHILL BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN T DUNLAP BOARD MEMBER 0.10 1.70 X 0 0 0 MSGR CHARLES J FAHEY BOARD MEMBER 0.10 1.70 X 0 0 0 THOMAS J FAHEY JR MD BOARD MEMBER 0.10 1.70 X 0 0 0 ERIC P FELDMANN BOARD MEMBER 0.10 1.70 X 0 0 0 SISTER SELINE FLORES BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN GLEASON BOARD MEMBER 0.10 1.70 X 0 0 0 KAREN GRAY BOARD MEMBER 0.10 1.70 X 0 0 0 GEORGE IRISH BOARD MEMBER THRU SEPT 2022 0.10 1.70 X 0 0 0 CLARION E JOHNSON MD BOARD MEMBER 0.10 1.70 X 0 0 0 RORY KELLEHER BOARD MEMBER 0.10 1.70 X 0 0 0 MSGR JOSEPH LAMORTE BOARD MEMBER 0.10 1.70 X 0 0 0 RICHARD PARK MD BOARD MEMBER 0.10 1.70 X 0 0 0 KATHRYN ROONEY BOARD MEMBER 0.10 1.70 X 0 0 0 JOSEPH SAPORITO BOARD MEMBER 0.10 1.70 X 0 0 0 GT SWEENEY BOARD MEMBER 0.10 1.70 X 0 0 0 GENNARO VASILE PHD BOARD MEMBER 0.10 1.70 X 0 0 0 BISHOP GERALD WALSH BOARD MEMBER 0.10 1.70 X 0 0 0 SCOTT P LA RUE PRESIDENT/CEO 0.10 38.70 X 0 1570889 397993 ANNMARIE COVONE EXECUTIVE VP/CFO 0.10 38.70 X 0 1054969 275645 WALID MICHELEN SVP CLINICAL CHIEF MEDICAL OFFICER 0.10 35.00 X 552097 0 96954 ROBERT SCHATTINGER VP - SUPPORT SERVICES 0.10 35.00 X 340432 0 58899 DEREK D DUNBAR SR. VP OF BUSINESS DEVELOPMENT 0.10 35.00 X 293546 0 0 MARC A TRAINA SENIOR DIRECTOR, FINANCE 0.10 35.00 X 262013 0 49385 VICTOR B FAMA AVP, MANAGED CARE ORGANIZATION 0.10 35.00 X 242502 0 34459 1690590 2625858 913335 32 0 1 0 SPECIALIST SECURITY SERVICE 56-21 MARATHON PARKWAY 2ND FLR LITTLE NECK NY 11362 SECURITY SERVICES 185144 LANCE SMALL 2007 CLAYBROOK LANE DENVER NC 28037 NETWORK DEVELOPMENT SERVICES 112095 SCULLY CONSTRUCTION LLC 141 LAFAYETTE AVENUE NORTH WHITE PLAINS NY 10603 CONTRUCTION SERVICES 100733 3 1370202 658774 1232921 3261897 CHAPLAINCY PROGRAM 900099 706968 706968 AUTISM HOUSING 532000 138920 138920 845888 1115 1115 REBATES 900099 2879 2879 REIMBURSEMENTS 900099 800 800 3679 4112579 845888 0 4794 X 6940265 933351 6006914 340861 40903 299958 1031392 123767 907625 481474 57777 423697 6982 5079 1903 2160567 1727748 432819 27121 16881 10240 685824 685824 20750 10948 9802 378398 378398 13437 13437 PURCHASED AND CONTRACT 298187 123080 175107 WIO TRAINING 31199 31199 FOOD EXPENSES 23994 23994 OTHER DIRECT EXPENSES 9559 9559 12450010 4158949 8291061 0 0 13873 276334 144212 134223 58938 2854 8369 5256607 1978885 3198497 3277722 7743420 9567165 11355328 13070279 4007635 2328233 2334844 2403726 11560 11560 1424439 4670685 7778478 9414204 X 3576850 3656075 3576850 3656075 11355328 13070279 X -8337431 8416656 X X 0 1 X 1 0 X X 1 CATHOLIC HEALTH CARE SYSTEM 133896624 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART I, LINE 12(G)(VI): ARCHCARE COMMUNITY SERVICES IS DEVOTED TO PROVIDING A COMMUNITY RESOURCE FOR THE FRAIL, ELDERLY AND OTHER VULNERABLE POPULATIONS FOR SUPPORTIVE HOUSING, PASTORAL CARE AND COMMUNITY ENGAGEMENT. THE ORGANIZATION CONDUCTS PROGRAMS THAT BENEFIT THE SAME CHARITABLE CLASS OF INDIVIDUALS THAT ITS SUPPORTED ORGANIZATION, CATHOLIC HEALTH CARE SYSTEM, SUPPORTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3875274 1370467 2504807 664940 608418 56522 716393 716393 3277722 DUE FROM RELATED PARTIES 4994808 LETTERS OF CREDIT AND ESCROW 1245870 SECURITY DEPOSITS 11560 RIGHT-OF-USE ASSETS - OPERATING LEASES 3314927 9567165 DUE TO RELATED PARTIES 1355317 OPERATING LEASE LIABILITY 3315368 4670685 X 59927155 57426966 57426966 2500189 1612390 1612390 4112579 58705081 47867461 47867461 10837620 1612390 1612390 12450010 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE ORGANIZATION ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE ORGANIZATION FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE ATTRIBUTED TO RELATED ENTITY PER CONSOLIDATED FINANCIAL STATEMENTS 57,426,966. PART XI, LINE 4B - OTHER ADJUSTMENTS: ELIMINATIONS ON CONSOLIDATED FINANCIAL STATEMENTS 1,612,390. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES ATTRIBUTED TO RELATED ENTITY PER CONSOLIDATED FINANCIAL STATEMENTS 47,867,461. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATIONS ON CONSOLIDATED FINANCIAL STATEMENTS 1,612,390. 0 1 0 0 0 0 0 1 0 SCOTT P LA RUE PRESIDENT/CEO 0 1267660 0 139407 0 163822 0 372318 0 25675 0 1968882 0 300458 ANNMARIE COVONE EXECUTIVE VP/CFO 0 837632 0 117271 0 100066 0 262461 0 13184 0 1330614 0 135664 WALID MICHELEN SVP CLINICAL CHIEF MEDICAL OFFICER 455875 0 65306 0 30916 0 84519 0 12435 0 649051 0 82400 0 ROBERT SCHATTINGER VP - SUPPORT SERVICES 276748 0 47949 0 15735 0 56870 0 2029 0 399331 0 37398 0 MARC A TRAINA SENIOR DIRECTOR, FINANCE 247013 0 15000 0 0 0 12628 0 36757 0 311398 0 0 0 DEREK D DUNBAR SR. VP OF BUSINESS DEVELOPMENT 293546 0 0 0 0 0 0 0 0 0 293546 0 0 0 VICTOR B FAMA AVP, MANAGED CARE ORGANIZATION 239502 0 3000 0 0 0 11602 0 22857 0 276961 0 0 0 PART I, LINE 3 CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2022, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). PART I, LINE 4B SCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE DISTRIBUTED $160,192 TO SCOTT AND $86,225 TO ANNMARIE IN THEIR 2022 W-2S. PART I, LINE 7 THE ORGANIZATION PAID DISCRETIONARY BONUSES TO CERTAIN INDIVIDUALS LISTED IN PART II AS REPORTED IN COLUMN B(II) FOR THE APPLICABLE INDIVIDUALS. 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 11B ARCHCARE COMMUNITY SERVICES, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 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 AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 125,188. MANAGEMENT AND GENERAL EXPENSES 401,008. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 526,196. RELIGIOUS SERVICES: PROGRAM SERVICE EXPENSES 20,857. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,857. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,811. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,811. WORKFORCE INVESTMENT PROGRAM CONSULTING: PROGRAM SERVICE EXPENSES 21,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,000. CHAPLAINCY PROGRAM: PROGRAM SERVICE EXPENSES 1,560,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,560,703. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM RELATED PARTIES 8,416,656. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BENEFICE ADVANTAGE INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 134201050 DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE NY 501(C)(3) LINE 1 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 BROOKLYN VISITING NURSE FOUNDATION 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 113312248 DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONS NY 501(C)(3) LINE 12B, II VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC 0 CALVARY FUND INC 1740 EASTCHESTER ROAD BRONX NY 10461 133259649 SUPPORT CALVARY HOSPITAL NY 501(C)(3) LINE 12A, I CALVARY HOLDING COMPANY INC 0 CALVARY HOLDING COMPANY 1740 EASTCHESTER ROAD BRONX NY 10461 061531426 SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS NY 501(C)(3) LINE 12A, I CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CALVARY HOSPITAL 1740 EASTCHESTER ROAD BRONX NY 10461 131740274 OPERATE A TAX EXEMPT HOSPITAL NY 501(C)(3) LINE 3 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CARMEL RICHMOND NURSING HOME INC 88 OLD TOWN ROAD STATEN ISLAND NY 103044299 132720248 OPERATE SKILLED NURSING & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY 205 LEXINGTON AVE - 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