2024-11-14T19:02:32-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 133598842 ST VINCENT DE PAUL RESIDENCE STVI 6466334700 900 INTERVALE AVENUE BRONX NY 10459 ANNMARIE COVONE EXECUTIVE VP & CFO 6466334700 2024-11-14 1 1 MELISSA MODELSON P01603524 9143818900 2024-11-05 2023 2024-10-15 13:58:12Z SAN VICENTE DE PAUL SKILLED NURSING AND REHABILITATION CENTER SCOTT P LA RUE 205 LEXINGTON AVENUE NEW YORK NY 10016 20727607 0 0928 X WWW.ARCHCARE.ORG X 1990 NY LOCATED IN THE BRONX, ARCHCARE AT ST. VINCENT DE PAUL IS A 120-BED HEALTHCARE FACILITY AND A 24 REGISTRANT ADULT DAY HEALTH CARE PROGRAM SPECIALIZING IN THE NEEDS OF THE FRAIL AND ELDERLY COMMUNITY. THOSE IN NEED OF SHORT-TERM REHABILITATION WHEN TRANSITIONING FROM HOSPITAL TO HOME FIND A COMPLETE STAFF OF CERTIFIED AND HIGHLY-QUALIFIED PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AT THE RESIDENCE. A SPECIAL UNIT IS DEDICATED TO SERVING THOSE NEEDING INTENSIVE REHABILITATIVE SERVICES FOR A SHORT PERIOD BEFORE RETURNING TO THEIR HOMES.THE SIX-STORY MEDITERRANEAN STYLE BUILDING IS CONNECTED TO A PRIVATE GARDEN THAT OFFERS A PLEASANT SETTING FOR FAMILY VISITS, AND THE CULTURE OF THE RESIDENCE, ITS BILINGUAL STAFF, ETHNIC FOOD AND SPECIAL EVENTS ALL REFLECT THE INFLUENCE OF ITS SURROUNDING COMMUNITY. RECREATION AND SOCIAL ACTIVITIES ARE AN ESSENTIAL PART OF DAILY LIFE HERE AND THESE PROGRAMS ARE TAILORED FOR BOTH LARGE AND SMALL GROUPS, AND WHEN REQUIRED, FOR INDIVIDUAL NEEDS. 21 21 193 22 0 0 738883 1411087 20282766 19282480 268 5160 26285 28880 21048202 20727607 0 0 0 0 8800830 9379553 0 0 0 15100760 14043748 23901590 23423301 -2853388 -2695694 14849021 14208203 18459705 16064581 -3610684 -1856378 X THE NURSING HOME IS DEVOTED TO CARING FOR THE SICK AND DISABLED WITH COMPASSION IN THE TRADITION OF CATHOLIC HEALTH CARE. IT SEEKS TO DELIVER HIGH QUALITY CARE, TO TREAT ALL PATIENTS WITH DIGNITY, AND TO PROVIDE A CARING ENVIRONMENT FOR PATIENTS AT THE NURSING HOME. AS A PARTICIPATING MEMBER OF THE CATHOLIC HEALTH CARE SYSTEM, THE NURSING HOME IS ALSO COMMITTED TO FURTHERING THE SYSTEM'S ABILITY TO PROMOTE HIGH QUALITY CARE, TO ENHANCE ITS SERVICES, AND TO OPERATE EFFECTIVELY AS A HEALTH CARE SYSTEM. 0 0 16967372 0 16550093 CARE SERVICES AT ST. VINCENT DE PAUL INCLUDE: 24-HOUR SKILLED NURSING SERVICES; SHORT-TERM REHABILITATION SERVICES INCLUDING SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY; CLINICAL AND PHYSICIAN SERVICES INCLUDING CONSULTING PHYSICIANS FOR DENTAL, OPHTHALMOLOGY, AND PODIATRY; LABORATORY SERVICES; RELIGIOUS SERVICES; RECREATION THERAPY; RADIOLOGY SERVICES; NUTRITION SERVICES; IV THERAPY; PAIN MANAGEMENT; HOSPICE; AND FAMILY AND RESIDENT COUNCILS.IN 2023, THE FACILITY PROVIDED 42,778 DAYS OF SKILLED NURSING CARE TO OVER 332 PATIENTS. 1795147 0 2732387 THE RESIDENCE OPERATES AN ASSISTED LIVING PROGRAM, WHICH SERVES A MEDICAID ONLY POPULATION. THE ASSISTED LIVING PROGRAM (ALP) AT ST. VINCENT DE PAUL SERVES INDIVIDUALS WHO ARE MEDICALLY ELIGIBLE FOR NURSING HOME PLACEMENT BUT WHO CAN BE CARED FOR IN A LESS MEDICALLY INTENSIVE RESIDENTIAL SETTING. ALP RESIDENTS DO NOT REQUIRE CONTINUAL NURSING CARE. WITH A CAPACITY OF 59 BEDS, THE RANGE OF ALP SERVICES INCLUDES PERSONAL CARE, ROOM, BOARD, HOUSEKEEPING, SUPERVISION, HOME HEALTH AIDES, PERSONAL EMERGENCY RESPONSE SERVICES, CASE MANAGEMENT, ETC. 18762519 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 37 0 193 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X ANNMARIE COVONE 6466334702 205 LEXINGTON AVENUE - 2ND FLOOR NEW YORK NY 10016 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, THRU XXX 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 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 1640548 412658 ANNMARIE COVONE EXECUTIVE VP/CFO 0.10 38.70 X 0 1093137 309335 SHENNOY M WELLINGTON-ROBERTS ADMINISTRATOR 37.50 0.00 X 189760 0 83849 NSINI O UDO DIRECTOR OF NURSING 37.50 0.00 X 184243 0 37681 ERNESTO S ANTONINO RN SUPERVISOR 37.50 0.00 X 152154 0 35651 CHESANDRA H SWABY REGISTERED NURSE 37.50 0.00 X 141670 0 45902 EUNICE RICHARDS ASST. ADMINISTRATOR 37.50 0.00 X 145041 0 8530 ANN MARIE BULLEN ADMINISTRATOR (ALP) 37.50 0.00 X 128138 0 15109 941006 2733685 948715 14 0 1 0 CATHOLIC HEALTH CARE SYSTEM 205 LEXINGTON AVE 2ND FLR NEW YORK NY 10016 ADMINISTRATIVE SERVICES 1961167 RCM TECHNOLOGIES PO BOX 536342 PITTSBURGH NY 15251 STAFFING SERVICES 1740426 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 1272741 THERADYNAMICS REHAB LLC 337 CROSSWAY PARK DRIVE WOODBURY NY 11797 REHAB CENTER 1125619 AEQUOR HEALTHCARE SERVICES 377 HOES LANE SUITE 300 PISCATAWAY NJ 08854 TRAVEL NURSE AGENCY 578643 11 1405947 5140 1411087 MEDICAID 623000 14408240 14408240 MEDICARE 623000 2814662 2814662 PRIVATE PAY 623000 1572344 1572344 RENTAL INCOME FROM AFFILIATE 531120 351600 351600 OTHER PATIENT REVENUE 623000 135634 135634 19282480 5160 5160 1910 0 1910 1910 INCOME PAST DUE ACCOUNTS 900099 11198 11198 OTHER INCOME 900099 10844 10844 REBATES 900099 3080 3080 1848 1848 26970 20727607 19282480 0 34040 X 249342 249342 6574678 6338729 235949 432751 412840 19911 1463043 1403535 59508 659739 617013 42726 1065462 1065462 3531 3531 27000 27000 11689 11689 6186166 5921712 264454 1628063 920862 707201 215754 3267 212487 671707 636819 34888 3077 2006 1071 78156 78156 948128 948128 615900 615900 BAD DEBT 1009287 1009287 NYS CASH RECEIPT ASSMNT 782012 782012 MEDICATIONS 306242 306242 MEDICAL SUPPLIES 247061 247061 244513 144137 100376 23423301 18762519 4660782 0 0 1363277 222859 198941 1878877 0 3068267 2759421 129143 56521 155962 196795 33908749 26838550 7667205 7070199 1726708 2563049 14849021 14208203 5904680 6222855 41852 91753 222859 198941 1778168 1707216 10512146 7843816 18459705 16064581 X -3610684 -1856378 -3610684 -1856378 14849021 14208203 X -2695694 4450000 X X 0 1 X 1 1 1 X 144490 3079277 1610135 738883 1411087 6983872 17976346 14481318 15798877 20282766 19282480 87821787 18120836 17560595 17409012 21021649 20693567 94805659 0 0 0 94805659 43 552 139 268 5160 6162 43 552 139 268 5160 6162 14992 53575 18446 26285 28880 142178 18135871 17614722 17427597 21048202 20727607 94953999 0.99840 0.99860 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 4,981. 2020 AMOUNT: $ 9,322. 2022 AMOUNT: $ 3,346. 2023 AMOUNT: $ 10,844. VENDING MACHINES - 2019 AMOUNT: $ 3,046. 2020 AMOUNT: $ 2,074. 2021 AMOUNT: $ 1,928. 2022 AMOUNT: $ 1,928. 2023 AMOUNT: $ 1,791. MEDICAL RECORDS - 2019 AMOUNT: $ 274. 2020 AMOUNT: $ 1,822. 2021 AMOUNT: $ 499. 2022 AMOUNT: $ 353. 2023 AMOUNT: $ 57. INCOME FROM PAST DUE ACCOUNTS - 2019 AMOUNT: $ 6,691. 2020 AMOUNT: $ 39,969. 2021 AMOUNT: $ 12,659. 2022 AMOUNT: $ 17,270. 2023 AMOUNT: $ 11,198. BEAUTY PARLOR - 2020 AMOUNT: $ 388. 2021 AMOUNT: $ 3,360. 2022 AMOUNT: $ 3,388. 2023 AMOUNT: $ 1,910. REBATES - 2023 AMOUNT: $ 3,080. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11689 11689 0 PART II-B, LINE 1: AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 1 X 135000 135000 27201392 22069670 5131722 6572357 4768880 1803477 7070199 DUE FROM THIRD-PARTY PAYORS 614018 INSURANCE RECOVERIES RECEIVABLE 1700475 DUE FROM RELATED PARTIES 248556 2563049 ASSET RETIREMENT OBLIGATION 40000 DUE TO RELATED PARTIES 5819772 SELF-INSURED LIABILITY 6154 PROFESSIONAL LIABILITIES 1700475 DUE TO THIRD-PARTY PAYORS 277415 7843816 X 19368379 0 19368379 1359228 1359228 20727607 22064073 0 22064073 1359228 1359228 23423301 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE RESIDENCE ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE RESIDENCE FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE RESIDENCE AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: THE RESIDENCE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE RESIDENCE HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE RESIDENCE IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 1,009,287. RECLASS ATI CREDIT TO PART VIII, LINE 1E 349,941. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 1,009,287. RECLASS ATI CREDIT TO PART VIII, LINE 1E 349,941. 0 1 0 0 0 0 0 1 0 SCOTT P LA RUE PRESIDENT & CEO 0 1342689 0 135259 0 162600 0 387935 0 24723 0 2053206 0 296164 ANNMARIE COVONE EXECUTIVE VP/CFO 0 879723 0 114980 0 98434 0 273684 0 35651 0 1402472 0 199482 SHENNOY M WELLINGTON-ROBERTS ADMINISTRATOR 179747 0 10013 0 0 0 46169 0 37680 0 273609 0 10013 0 NSINI O UDO DIRECTOR OF NURSING 184243 0 0 0 0 0 0 0 37681 0 221924 0 0 0 ERNESTO S ANTONINO RN SUPERVISOR 152154 0 0 0 0 0 0 0 35651 0 187805 0 0 0 CHESANDRA H SWABY REGISTERED NURSE 141670 0 0 0 0 0 16012 0 29890 0 187572 0 0 0 EUNICE RICHARDS ASST. ADMINISTRATOR 145041 0 0 0 0 0 8530 0 0 0 153571 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 2023, 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 $160,905 TO SCOTT AND $84,502 TO ANNMARIE IN THEIR 2023 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 I, ITEM C DBA: SAN VICENTE DE PAUL SKILLED NURSING AND REHABILITATION CENTER DBA: ST. VINCENT DE PAUL LHCSA FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. ANNMARIE COVONE AND SCOTT LARUE (OFFICERS OF THE FILING ORGANIZATION) WERE PAID BY CATHOLIC HEALTH CARE SYSTEM. THEIR 2023 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $1,065,462 FOR THESE SERVICES IN 2023. 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 ST. VINCENT DE PAUL RESIDENCE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY ON CONFLICTS OF INTEREST IS DESIGNED TO PROVIDE GUIDANCE TO ALL MEMBERS OF THE BOARD, THE OFFICERS OF THE ORGANIZATION, AND TO ALL PERSONS EMPLOYED BY THE ORGANIZATION. A BOARD MEMBER OR OFFICER SHALL DISCLOSE ANY CONFLICT OF INTEREST OF WHICH HE OR SHE HAS KNOWLEDGE: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS OR HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE ORGANIZATION; (C) AS SOON AS POSSIBLE AFTER THE BOARD MEMBER OR OFFICER SHALL LEARN OF A CONFLICT OF INTEREST IN ANY OTHER CONTEXT. DISCLOSURE OF THE MATERIAL FACTS SURROUNDING THE BOARD MEMBER OR OFFICER'S CONFLICT OF INTEREST SHALL BE MADE TO THE SECRETARY OF THE BOARD OF MANAGERS OR, IN THE CASE OF A COMMITTEE, TO THE CHAIRPERSON OF THAT COMMITTEE (WHO SHALL NOTIFY THE SECRETARY). THE SECRETARY OR COMMITTEE CHAIRPERSON SHALL INFORM THE OTHER MEMBERS OF THE BOARD OR COMMITTEES PRIOR TO ANY ACTION THEREON. FAILURE TO DISCLOSE ADEQUATELY A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SHALL CONSTITUTE CAUSE FOR REMOVAL FROM THE BOARD. FOLLOWING RECEIPT OF INFORMATION CONCERNING A CONTRACT OR TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE BOARD SHALL CONSIDER THE MATERIAL FACTS CONCERNING THE PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED. (A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED BOARD MEMBER MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE AT WHICH DISCUSSION OR A VOTE ON THE TRANSACTION OR ARRANGEMENT TAKES PLACE. (B) AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT USE PERSONAL INFLUENCE WITH REGARD TO THE BOARD'S DETERMINATION THAT A CONFLICT EXISTS OR THE BOARD'S VOTE ON THE MATTER. (C) IF APPROPRIATE, THE CHAIRPERSON SHALL APPOINT A DISINTERESTED PERSON OR A COMMITTEE OF THE BOARD TO CONDUCT AN ASSESSMENT OF FAIR MARKET VALUE FOR A PARTICULAR TRANSACTION, OR TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (D) THE BOARD SHALL APPROVE ONLY THOSE CONTRACTS OR TRANSACTIONS IN WHICH THE TERMS ARE FAIR AND REASONABLE TO THE ORGANIZATION AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION. THE MINUTES OF THE BOARD AND OF ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL OR OTHER INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE CONTENT OF THE DISCUSSION, INCLUDING CONSIDERATION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND THE NATURE OF AND SOURCE OF ANY DATA RELIED UPON IN MAKING AN ASSESSMENT OF FAIR MARKET VALUE, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; AND (C) IN ANY CASE WHEN THE BOARD APPROVES AN ARRANGEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE MINUTES OF THE MEETING SHALL SET FORTH THE BASIS FOR THE BOARD'S DECISION. AN EMPLOYEE OF THE ORGANIZATION WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS OR HER SUPERVISOR. THE EMPLOYEE SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN ANY DECISIONS RELATING TO THE MATTER AND FOLLOW THE DIRECTION OF THE SUPERVISOR AS TO HOW THE ORGANIZATION'S DECISIONS WHICH ARE THE SUBJECT OF THE CONFLICT WILL BE DETERMINED. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE THE ORGANIZATION'S DECISIONS WHICH INVOLVE UNRESOLVED EMPLOYEE CONFLICTS OF INTEREST. IN MAKING SUCH DETERMINATIONS, THE COMPLIANCE DIRECTOR OF THE ORGANIZATION MAY CONSULT WITH LEGAL COUNSEL, AS APPROPRIATE. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL REPORT TO THE BOARD AT LEAST ANNUALLY CONCERNING EMPLOYEE CONFLICTS OF INTEREST WHICH HAVE BEEN DISCLOSED AND CONTRACTS AND TRANSACTIONS INVOLVING EMPLOYEE CONFLICTS WHICH THE SECRETARY OF THE ORGANIZATION'S BOARD OF MANAGERS HAS APPROVED. EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEE OF THE ORGANIZATION SHALL SIGN A STATEMENT WITHIN 30 DAYS OF ASSUMING SUCH RESPONSIBILITY, AND ANNUALLY THEREAFTER, AFFIRMING THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE ORGANIZATION CANNOT ENGAGE IN A TRANSACTION OR ENTER INTO A COMPENSATION ARRANGEMENT WITH BOARD MEMBERS, OFFICERS, SENIOR STAFF MEMBERS, OR OTHERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THAT PROVIDES AN ECONOMIC BENEFIT TO SUCH PERSON IN EXCESS OF THE CONSIDERATION OR SERVICES THAT THE ORGANIZATION RECEIVES IN RETURN. IN ADDITION, THOSE INDIVIDUALS COMPLETING THE STATEMENT ARE ALSO REQUIRED TO DISCLOSE PERSONAL OR OTHER BUSINESS INTERESTS THAT COULD GIVE RISE TO CONFLICTS WITH THEIR ROLE WITH ARCHCARE. THESE STATEMENTS ARE SUMMARIZED AND PROVIDED TO THE GOVERNING BODY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15B THE ORGANIZATION UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE AND COMPETITIVE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. IN ADDITION, THE CONSULTANT CREATED A COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). THIS STRUCTURE IS REVIEWED EVERY THREE YEARS. THE CONSULTANT REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND REVIEWS THESE RESULTS WITH THE COMPENSATION COMMITTEE. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2023, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES. THIS COST REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BILLING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 115,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,200. CONSULTING: PROGRAM SERVICE EXPENSES 30,438. MANAGEMENT AND GENERAL EXPENSES 149,254. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,692. ENGINEERING: PROGRAM SERVICE EXPENSES 311,841. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,841. FOOD SERVICES: PROGRAM SERVICE EXPENSES 812,035. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 812,035. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 105,265. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,265. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 160,183. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160,183. PHYSICIANS AND THERAPY SERVICES: PROGRAM SERVICE EXPENSES 4,187,704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,187,704. SECURITY: PROGRAM SERVICE EXPENSES 274,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274,340. LAB FEES: PROGRAM SERVICE EXPENSES 39,906. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,906. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM CATHOLIC HEALTH CARE FOUNDATION 4,450,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. ARCHCARE COMMUNITY SERVICES INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 813563801 PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSING NY 501(C)(3) LINE 12B, II CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 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 INC 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 FACILITY & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 134054158 PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES NY 501(C)(3) LINE 7 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 133896624 MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESE NY 501(C)(3) LINE 10 PROVIDENCE HEALTH SERVICES 0 CATHOLIC MANAGED LONG TERM CARE INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 208180809 OPERATE A MANAGED LONG TERM CARE PLAN NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC RESOURCES INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10021 261306110 PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATION NY 501(C)(3) LINE 1 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 DOMINICAN SISTERS FAMILY HEALTH SERVICE INC 299 NORTH HIGHLAND AVENUE OSSINING NY 10562 131740242 HOME HEALTH AGENCY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 EMPIRE STATE HOME CARE SERVICES INC 15 METROTECH CENTER 11 FL BROOKLYN NY 11201 113618585 HOME HEALTH CARE SERVICES NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 FAMILY HOME HEALTH CARE INC 65 SOUTH BROADWAY TARRYTOWN NY 10591 133831377 HOME CARE NY 501(C)(3) LINE 10 DOMINICAN SISTERS FAMILY HEALTH SERVICE INC 0 FERNCLIFF NURSING HOME COMPANY INC 21 FERNCLIFF DRIVE RHINEBECK NY 12572 141514053 OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 KATERI RESIDENCE 205 LEXINGTON AVE - 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2ND FL NEW YORK NY 10016 113574017 DORMANT/SUPPORT AND MANAGEMENT SERVICES FOR ITS AFFILIATES NY 501(C)(3) PF CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 EGER HEALTH CARE AND REHABILITATION CENTER 140 MEISNER AVENUE STATEN ISLAND NY 10306 133524533 OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 ST AGNES HOSPITAL 305 NORTH STREET WHITE PLAINS NY 10605 131740121 DORMANT/OPERATE A TAX EXEMPT HOSPITAL NY CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE C 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 1