FURP.ORG / PUBLIC DATA EXPLORER

CALVARY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CALVARY HOSPITAL INC (EIN 13-1740274)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202213199349308491
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T10:50:38-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1757 THIRD AVENUE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100172013ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131740274EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALVARY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCALVBusinessNameControlTxt
Phone7185182000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11740 EASTCHESTER ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104612392ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW GRECOPersonNm
Person TitleVICE PRESIDENT & CFOPersonTitleTxt
Phone7185182069PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastGRECOPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT THOMPSETTPreparerPersonNm
PTINP00741490PTIN
Phone2125990100PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFRANK CALAMARIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11740 EASTCHESTER ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104612392ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$130,872,300GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALVARYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1899FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCALVARY HOSPITAL PROVIDES PALLIATIVE CARE FOR TERMINALLY ILL CANCER PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1180TotalEmployeeCnt
Total Volunteers92TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$29,344,812PYContributionsGrantsAmt
CY Contributions Grants$10,871,600CYContributionsGrantsAmt
PY Program Service Revenue$107,004,500PYProgramServiceRevenueAmt
CY Program Service Revenue$115,735,000CYProgramServiceRevenueAmt
PY Investment Income$784,337PYInvestmentIncomeAmt
CY Investment Income$1,487,200CYInvestmentIncomeAmt
PY Other Revenue$1,107,051PYOtherRevenueAmt
CY Other Revenue$1,275,200CYOtherRevenueAmt
PY Total Revenue$138,240,700PYTotalRevenueAmt
CY Total Revenue$129,369,000CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$97,169,001PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$98,686,401CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$39,316,966PYOtherExpensesAmt
CY Other Expenses$36,857,799CYOtherExpensesAmt
PY Total Expenses$136,485,967PYTotalExpensesAmt
CY Total Expenses$135,544,200CYTotalExpensesAmt
PY Revenues Less Expenses$1,754,733PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,175,200CYRevenuesLessExpensesAmt
Total Assets BOY$124,160,500TotalAssetsBOYAmt
Total Assets EOY$108,684,200TotalAssetsEOYAmt
Total Liabilities BOY$95,086,500TotalLiabilitiesBOYAmt
Total Liabilities EOY$71,850,400TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,074,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,833,800NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCALVARY HOSPITAL IS A FULLY ACCREDITED ACUTE CARE SPECIALTY HOSPITAL PROVIDING PALLIATIVE CARE FOR TERMINALLY ILL CANCER PATIENTS IN THE UNITED STATES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$93,275,178ExpenseAmt
Grant$0GrantAmt
Revenue$87,385,300RevenueAmt
DescTERMINALLY ILL CANCER CARE INPATIENT - CALVARY SERVES ABOUT 23.7% OF ALL INDIVIDUALS WHO DIE OF CANCER IN THE NEW YORK METROPOLITAN AREA EACH YEAR. PATIENTS ARE REFERRED TO CALVARY FROM EVERY MAJOR HOSPITAL AND MEDICAL CENTER IN NEW YORK CITY. IN 2021, CALVARY CARED FOR MORE THAN 2,772 PATIENTS AND FAMILIES AS INPATIENT ADMISSIONS IN OUR 200-BED BRONX CAMPUS AND OUR 25-BED SATELLITE AT NYU LANGONE HOSPITAL IN BROOKLYN. THE AVERAGE LENGTH OF INPATIENT STAY IS 27.6 DAYS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$23,346,887ExpenseAmt
Grant$0GrantAmt
Revenue$28,348,500RevenueAmt
DescSEE SCHEDULE O.CALVARY HOSPITAL HOSPICE IS A MEDICARE-CERTIFIED HOSPITAL-BASED HOSPICE PROGRAM, WHICH PROVIDES AN INTERDISCIPLINARY CARE TEAM FOR PATIENTS WITH A TERMINAL PROGNOSIS FOR ALL END-STAGE DISEASES. CALVARY HOSPITAL HOSPICE EMBRACES AND IMPLEMENTS THE BASIC ASSUMPTIONS OF THE HOSPICE CONCEPT, INCLUDING THE FOLLOWING:- HOSPICE PROVIDES PALLIATIVE MEDICAL CARE, TREATING THE PHYSICAL, EMOTIONAL AND SPIRITUAL PAIN OF THE PATIENT AND FAMILY. - HOSPICE TREATS THE PATIENT AND LOVED ONES TOGETHER AS A WHOLE UNIT OF CARE AND OFFERS BEREAVEMENT COUNSELING FOR SURVIVING CAREGIVERS AFTER THE PATIENT'S DEATH. - HOSPICE PATIENTS REMAIN IN THE FAMILIAR, COMFORTING SURROUNDINGS OF HOME, WHETHER IT'S A PRIVATE RESIDENCE, NURSING HOME, HOSPITAL OR AN ASSISTED LIVING FACILITY. - HOSPICE CARE PROVIDES THE FOLLOWING FOUR LEVELS OF CARE: ROUTINE CARE, GENERAL INPATIENT CARE (IF NEEDED), CONTINUOUS CARE (DURING A CRISIS), AND RESPITE CARE.HOSPICE SERVICES - NURSING CARE, AS NECESSARY TO MAINTAIN THE PATIENT AT HOME - 24 HOURS A DAY, 7 DAYS A WEEK ON-CALL NURSE PHYSICIAN SERVICES - MEDICAL SOCIAL SERVICES- PASTORAL CARE- COUNSELING SERVICES - NUTRITIONAL COUNSELING- SHORT-TERM INPATIENT AND RESPITE CARE - MEDICAL SUPPLIES RELATED TO TERMINALLY ILL - PERSONAL CARE PROVIDED BY CERTIFIED HOME HEALTH AIDES - THERAPIES (E.G., PHYSICAL, OCCUPATIONAL AND SPEECH) - MEDICATIONS FOR SYMPTOM MANAGEMENT AND PAIN CONTROL RELATED TO THE TERMINALLY ILL- BEREAVEMENT COUNSELING FOR FAMILY MEMBERS - VOLUNTEER SERVICESDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$542,635ExpenseAmt
Grant$0GrantAmt
Revenue$1,200RevenueAmt
DescSEE SCHEDULE O. CALVARY'S HOME HEALTH AGENCY SERVES PATIENTS IN THE BRONX, QUEENS, NORTHERN MANHATTAN, AND SOUTHERN WESTCHESTER COUNTY. CALVARY OFFERS HOME CARE TO PATIENTS WITH ALL DIAGNOSES. MOST PATIENTS RETURN TO PRE-ILLNESS FUNCTION AND ARE DISCHARGED TO SELF-CARE WITHIN SIX TO EIGHT WEEKS. ALL OF OUR PATIENTS WHO WE CARE FOR AT HOME GET THE SAME LEVEL OF HIGH-QUALITY AND UNIQUE "CALVARY CARE" AS ALL OF OUR INPATIENTS.THE FOLLOWING SERVICES ARE AVAILABLE TO PATIENTS AND THEIR FAMILIES THROUGH CALVARY'S CERTIFIED HOME HEALTH AGENCY: NURSING SERVICES - OUR COMMUNITY HEALTH NURSES PROVIDE NURSING VISITS TO PATIENTS IN THEIR HOMES. - SPECIALIZED NURSING IS AVAILABLE SUCH AS ENTEROSTOMAL THERAPY. - 24-HOUR TELEPHONE ACCESS TO RN (REGISTERED NURSE) ON-CALL.HOME HEALTH AIDE - PROVIDES ASSISTANCE WITH PERSONAL CARE AND OTHER ACTIVITIES RELATED TO HEALTH CARE. NUTRITIONAL SERVICES - CALVARY'S DIETITIANS ARE AVAILABLE BY PHONE TO HELP IN PLANNING THERAPEUTIC NUTRITIONAL MANAGEMENT.THERAPY SERVICES - PHYSICAL THERAPY- OCCUPATIONAL THERAPY - SPEECH THERAPYMEDICAL CARE - CALVARY HOME CARE STAFF WILL WORK CLOSELY WITH THE PATIENT'S OWN PHYSICIAN TO MEET HOME HEALTH NEEDS. - OUR STAFF HAS EXTENSIVE KNOWLEDGE OF PAIN MANAGEMENT.MEDICAL SOCIAL WORK A FULL RANGE OF SOCIAL WORK SERVICES ARE AVAILABLE TO HELP PATIENTS AND FAMILIES COPE WITH THE PROBLEMS OF ILLNESS. - ASSISTANCE IN MEDICAID APPLICATION - ASSISTANCE IN LONG-TERM PLANNINGREFERRING PATIENTS - REFERRALS MAY BE MADE BY PATIENTS FAMILY MEMBERS, FRIENDS, HOSPITALS, CLINICS, PHYSICIANS, OTHER HEALTH CARE PROFESSIONALS AND COMMUNITY AGENCIES. - PART OF THE CALVARY CONTINUUM FACILITATE ADMISSION TO INPATIENT CARE FOR SYMPTOM MANAGEMENT - REFERRAL TO OUTPATIENT AND WOUND CARE CLINICS - PROVIDE INFORMATION ON CALVARY PROGRAMS INCLUDING BEREAVEMENT SUPPORTDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$117,164,700TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document123IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1180EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW GRECOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7185182069PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11740 EASTCHESTER ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP104612069ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCOTT P LA RUE
PRESIDENT/CEO OF ARCHCARE1.0037.00Yes (X)$0$1,410,218$353,773
MANFRED ALTSTADT
DIRECTOR EMERITUS (NON-VOTING)0.500.50Yes (X)$0$0$0
STEVEN J GOLUB
DIRECTOR EMERITUS (NON-VOTING)0.501.00Yes (X)$0$0$0
JOHN P BERTSCH
DIRECTOR EMERITUS (NON-VOTING)0.500.00Yes (X)$0$0$0
DR MARC PRAGER
DIRECTOR0.500.00Yes (X)$0$0$0
THOMAS G FERRARA
DIRECTOR0.500.00Yes (X)$0$0$0
MARYANN JULIA POPIEL MD
DIRECTOR1.000.50Yes (X)$0$0$0
CARLOS HERNANDEZ
DIRECTOR0.501.00Yes (X)$0$0$0
JOSEPH A TARANTINO
DIRECTOR1.000.50Yes (X)$0$0$0
JOSEPH L DEMARZO
DIRECTOR1.000.00Yes (X)$0$0$0
AMIT SIKDAR
DIRECTOR0.500.00Yes (X)$0$0$0
RENA M MURTHA RN
DIRECTOR1.000.00Yes (X)$0$0$0
REV ERIC P CRUZ MDIV MNA
DIRECTOR1.000.00Yes (X)$0$0$0
DANIEL S GURRELL MD
DIRECTOR0.500.00Yes (X)$0$0$0
JOHN A DECINA
CHAIRMAN (AS OF 7/2021)0.500.50Yes (X)$0$0$0Yes (X)
ANNE COTE TAYLOR
SECRETARY1.000.00Yes (X)$0$0$0Yes (X)
THOMAS J FAHEY JR MD
CHAIRMAN (THRU 7/2021)/DIRECTOR2.001.00Yes (X)$0$0$0Yes (X)
EDWARD D HEBEN
TREASURER1.000.50Yes (X)$0$0$0Yes (X)
JAMES O'HARA
DIRECTOR0.500.00Yes (X)$0$0$0
RICHARD CARDILLO
DIRECTOR0.500.00Yes (X)$0$0$0
DIAL HEWLETT MD
DIRECTOR0.500.00Yes (X)$59,752$0$0
CHRISTOPHER COMFORT MD
COO37.000.00$530,028$0$38,507Yes (X)
ANDREW V GRECO
VICE PRESIDENT & CFO37.000.00$396,308$0$55,685Yes (X)
FRANK A CALAMARI
PRESIDENT/EXECUTIVE DIRECTOR37.000.00$744,984$0$33,887Yes (X)
ROBERT SIEGEL
MEDICAL DIRECTOR (THRU 9/2021)37.000.00$309,191$0$57,593Yes (X)
NANCY D'AGOSTINO RN
VP OF COMMUNITY PATIENT SVCS37.000.00$275,257$0$42,398Yes (X)
MARGARET PELKOWSKI
VP FOR PATIENT CARE SERVICE37.000.00$244,341$0$27,854Yes (X)
ANDREW ZARETSKY MD
ATTENDING PHYSICIAN37.000.00$419,506$0$45,259Yes (X)
DEVMANI JAITLY MD
ATTENDING PHYSICIAN37.000.00$575,354$0$38,506Yes (X)
MUHAMMAD AMIR SHAHID
ATTENDING PHYSICIAN37.000.00$368,507$0$58,616Yes (X)
MARGARET SQUILLACE
ATTENDING PHYSICIAN - HOSPICE37.000.00$350,899$0$30,731Yes (X)
ROBERT BRESCIA MD
DIR. PALLIATIVE CARE INST37.000.00$366,800$0$30,185Yes (X)
MICHAEL J BRESCIA MD
EXECUTIVE DIRECTOR EMERITUS37.000.00$334,682$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,975,609TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,410,218TotReportableCompRltdOrgAmt
Total Other Compensation$812,994TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K208IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAVIN HAFTY & ASSOCIATES LLP
PO BOX 735736DALLASTX753735736IT CONSULTING$931,034
FORT GROUP
100 CHALLENGER ROAD 7TH FLOORRIDGEFIELDNJ07660ADVERTISING SERVICES$858,778
CLOUDWAVE
100 CROWLEY DRIVEMALBOROUGHMA01752IT SERVICES$521,585
SPIRE WORKFORCE SOLUTIONS
1600 PARKWOOD CIRCLE SUITE 1600ATLANTAGA30339NURSING SERVICES$425,874
ADP
PO BOX 842875BOSTONMA022842875PAYROLL SERVICES$423,697
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Related Organizations$1,905,000RelatedOrganizationsAmt
Government Grants$5,551,000GovernmentGrantsAmt
All Other Contributions$3,415,600AllOtherContributionsAmt
Total Contributions$10,871,600TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$115,735,000TotalRevenueColumnAmt
Related Or Exempt Func Income$115,735,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$115,735,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$271,200TotalRevenueColumnAmt
Exclusion$271,200ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,719,300SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,503,300SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,216,000SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,216,000TotalRevenueColumnAmt
Exclusion$1,216,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
INSURANCE PROCEEDS900099$750,000$750,000
RELATED PARTY REIMBURSEMENTS900099$139,200$139,200
CAFETERIA INCOME900099$133,555$133,555

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,445TotalRevenueColumnAmt
Exclusion$252,445ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,275,200OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$129,369,000TotalRevenueColumnAmt
Related Or Exempt Func Income$115,735,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,762,400ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,867,682TotalAmt
Program Services$1,202,298ProgramServicesAmt
Management And General$1,665,384ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$230,769TotalAmt
Program Services$96,752ProgramServicesAmt
Management And General$134,017ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,529,808TotalAmt
Program Services$65,769,097ProgramServicesAmt
Management And General$4,760,711ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,303,332TotalAmt
Program Services$4,841,951ProgramServicesAmt
Management And General$461,381ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,621,755TotalAmt
Program Services$13,349,686ProgramServicesAmt
Management And General$1,272,069ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,133,055TotalAmt
Program Services$4,686,488ProgramServicesAmt
Management And General$446,567ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,640,256TotalAmt
Management And General$2,640,256ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$421,586TotalAmt
Management And General$421,586ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$381,348TotalAmt
Management And General$381,348ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$128,992TotalAmt
Management And General$128,992ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,017,109TotalAmt
Program Services$8,017,109ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,135,949TotalAmt
Program Services$690,644ProgramServicesAmt
Management And General$445,305ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,401,767TotalAmt
Program Services$1,460,247ProgramServicesAmt
Management And General$941,520ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$490,825TotalAmt
Program Services$298,416ProgramServicesAmt
Management And General$192,409ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,329,697TotalAmt
Program Services$1,609,942ProgramServicesAmt
Management And General$719,755ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$289,859TotalAmt
Program Services$176,231ProgramServicesAmt
Management And General$113,628ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,780TotalAmt
Program Services$27,834ProgramServicesAmt
Management And General$17,946ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,500TotalAmt
Program Services$31,500ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,507,500TotalAmt
Program Services$5,141,025ProgramServicesAmt
Management And General$366,475ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,099,293TotalAmt
Management And General$1,099,293ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$5,590,951$5,590,951
MAINTENANCE AND REPAIRS$1,575,040$957,606$617,434
FOOD EXPENSE$963,105$585,557$377,548
LEASES$812,740$758,659$54,081

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,994,502TotalAmt
Program Services$1,872,707ProgramServicesAmt
Management And General$1,121,795ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$135,544,200TotalAmt
Program Services$117,164,700ProgramServicesAmt
Management And General$18,379,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$21,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,970,500BOYAmt
EOY$11,371,800EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,585,800BOYAmt
EOY$21,551,200EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$965,900BOYAmt
EOY$310,600EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$360,100BOYAmt
EOY$222,900EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$116,110,200LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,302,600LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,825,000BOYAmt
EOY$14,807,600EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,910,700BOYAmt
EOY$18,979,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,745,300BOYAmt
EOY$8,218,300EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$26,052,800BOYAmt
EOY$30,985,800EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,724,400BOYAmt
EOY$2,215,300EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$124,160,500BOYAmt
EOY$108,684,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,537,300BOYAmt
EOY$15,212,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,784,000BOYAmt
EOY$2,167,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$126,200BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,042,000BOYAmt
EOY$388,900EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,597,000BOYAmt
EOY$54,082,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,086,500BOYAmt
EOY$71,850,400EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,687,000BOYAmt
EOY-$8,289,200EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,761,000BOYAmt
EOY$45,123,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,074,000BOYAmt
EOY$36,833,800EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$124,160,500BOYAmt
EOY$108,684,200EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,175,200ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$694,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$13,241,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$104,752DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$24,240OtherActivitiesAmt
Total Lobbying Expenditures$128,992TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCALVARY HOSPITAL ENGAGES TWO INDIVIDUALS TO DIRECTLY LOBBY CONGRESS AND OTHER GOVERNMENTAL AGENCIES ON ITS BEHALF. THE TOTAL AMOUNT PAID TO THESE EXTERNAL CONSULTANTS IN CALENDAR YEAR 2021 IS $56,278. CALVARY HOSPITAL INCURS INDIRECT LOBBYING EXPENDITURES FROM ITS MEMBERSHIP IN VARIOUS HEALTHCARE ASSOCIATIONS. THE $22,128 REPORTED ON SCHEDULE C, PART II-B, LINE 1(I) INCLUDES THE PORTION OF ITS MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ENDEAVORS THAT THE HOSPITAL PAYS TO THE FOLLOWING MEMBERSHIP ASSOCIATIONS: - THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) - THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA)ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$39,761,000BeginningYearBalanceAmt
Contributions$2,044,600ContributionsAmt
Investment Earnings Or Losses$5,481,300InvestmentEarningsOrLossesAmt
Other Expenditures$2,163,900OtherExpendituresAmt
End Year Balance$45,123,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,867,300BeginningYearBalanceAmt
Contributions$2,216,800ContributionsAmt
Investment Earnings Or Losses$3,250,500InvestmentEarningsOrLossesAmt
Other Expenditures$1,573,600OtherExpendituresAmt
End Year Balance$39,761,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,283,900BeginningYearBalanceAmt
Contributions$3,309,900ContributionsAmt
Investment Earnings Or Losses$5,215,300InvestmentEarningsOrLossesAmt
Other Expenditures$1,941,800OtherExpendituresAmt
End Year Balance$35,867,300EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,643,900BeginningYearBalanceAmt
Contributions$1,807,200ContributionsAmt
Investment Earnings Or Losses-$1,112,700InvestmentEarningsOrLossesAmt
Other Expenditures$2,054,500OtherExpendituresAmt
End Year Balance$29,283,900EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,805,300BeginningYearBalanceAmt
Contributions$1,725,600ContributionsAmt
Investment Earnings Or Losses$4,295,000InvestmentEarningsOrLossesAmt
Other Expenditures$2,182,000OtherExpendituresAmt
End Year Balance$30,643,900EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.04000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.96000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$538,000OtherCostOrOtherBasisAmt
Book Value$538,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,700,800OtherCostOrOtherBasisAmt
Depreciation$31,796,070DepreciationAmt
Book Value$6,904,730BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,386,400OtherCostOrOtherBasisAmt
Depreciation$65,479,532DepreciationAmt
Book Value$6,906,868BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,485,000OtherCostOrOtherBasisAmt
Depreciation$4,026,998DepreciationAmt
Book Value$458,002BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,807,600TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescALTERNATIVE INVESTMENTSDesc
Book Value$8,218,300BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$8,218,300TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST ASSETS OF CALVARY FUNDDesc
Book Value$30,985,800BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$30,985,800TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED PENSION LIABILITY$48,853,500
DUE TO THIRD PARTY PAYORS$4,020,400
ESTIMATED MALPRACTICE LIABILITY$1,208,600
FieldValueIRS element (for citing)
Total Liability$54,082,500TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$143,304,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$694,000NetUnrealizedGainsInvstAmt
Other Revenue$13,241,000OtherRevenueAmt
Revenue Not Reported$13,935,000RevenueNotReportedAmt
Revenue Subtotal$129,369,000RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$129,369,000TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$135,544,200TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$135,544,200ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$135,544,200TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE HOSPITAL MAINTAINS CUSTODIAL ACCOUNTS FOR ITS PATIENTS AND VARIOUS AUXILIARY GROUPS.
PART X, LINE 2:THE HOSPITAL FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS MORE-LIKELY-THAN-NOT TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRS. THE HOSPITAL HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT WAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE HOSPITAL HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PENSION BENEFIT ADJUSTMENT DUE TO CHANGE IN ACTUARIAL VALUATION 8,835,000. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF CF 4,406,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$161,507TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$161,507NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,020,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,528,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,182,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,528,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,507NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,182,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,528,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,507NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Total Community Benefit Expns$639,069TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$639,069NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,600NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,122TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,122NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Total Community Benefit Expns$654,791TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$654,791NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,075,000BadDebtExpenseAmt
Reimbursed By Medicare$54,450,600ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$57,295,358CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,844,758MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCd
CALVARY HOSPITAL INC
11740 EASTCHESTER ROADBRONXNY10461CALVARYHOSPITAL.ORGYes (X)EXTENDED NEOPLASTIC DISEASE CAREA
CALVARY HOSPITAL INC (BROOKLYN CAMPUS)
21740 EASTCHESTER ROADBRONXNY10461CALVARYHOSPITAL.ORGYes (X)EXTENDED NEOPLASTIC DISEASE CAREA

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CALVARY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLCALVARYHOSPITAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLCALVARYHOSPITAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLCALVARYHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLCALVARYHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLCALVARYHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 11:CALVARY HOSPITAL ASSESSED THE NEEDS OF THE COMMUNITY THROUGH THE LENSES OF THE SPECIALIZED SERVICES IT IS EQUIPPED TO PROVIDE. THE JOINT COMMISSIONS STEERING COMMITTEE AND QUALITY COMMITTEES OF THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR EVALUATING THE DATA AND PRIORITIZING THE NEEDS. CALVARY HOSPITAL USED SECONDARY AND QUALITATIVE DATA TO DETERMINE THREE TOP HEALTH ISSUES BASED ON CAPACITY, RESOURCES, COMPETENCIES, AND NEEDS SPECIFIC TO THE POPULATIONS IT SERVES. ALL NEEDS ARE A PRIORITY WITH PALLIATIVE CARE SERVICES BEING THE MOST SIGNIFICANT NEED. THESE ISSUES ARE WITHIN THE HOSPITAL'S SCOPE, COMPETENCY AND RESOURCES TO IMPACT IN A MEANINGFUL MANNER. CALVARY HOSPITAL'S END OF LIFE PALLIATIVE CARE IS THE WORLD'S MOST COMPREHENSIVE. FOR MORE THAN A CENTURY, IT HAS BEEN TREATING NOT ONLY THE PHYSICAL PAIN, BUT HAS ALSO BEEN PROVIDING ENORMOUS EMOTIONAL RELIEF, TO BOTH THE PATIENT AND THE FAMILY. CALVARY ELIMINATES THE STRESS AND ANXIETY AT A TIME WHEN PEOPLE ARE MOST VULNERABLE. THE HOSPITAL IDENTIFIED THREE PRIMARY SIGNIFICANT NEEDS WITHIN ITS COMMUNITY NEEDS ASSESSMENT:1. PALLIATIVE CARE SERVICES2. BEREAVEMENT SERVICES3. PALLIATIVE CARE PROVIDER EDUCATIONTHE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT PROVIDES TREMENDOUS DETAIL AS TO HOW THE HOSPITAL ADDRESSES THESE NEEDS. PLEASE REFER TO THE HOSPITAL'S WEBSITE AT HTTPS://WWW.CALVARYHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/11/CH_CHNA_BROCHURE_FINAL-11-12-19-1.PDF
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: CALVARY HOSPITAL, INC., - FACILITY 2: CALVARY HOSPITAL, INC. (BROOKLYN CAMPUS)
CALVARY HOSPITAL, INC. PART V, SECTION B, LINE 11:CALVARY HOSPITAL ASSESSED THE NEEDS OF THE COMMUNITY THROUGH THE LENSES OF THE SPECIALIZED SERVICES IT IS EQUIPPED TO PROVIDE. THE JOINT COMMISSIONS STEERING COMMITTEE AND QUALITY COMMITTEES OF THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR EVALUATING THE DATA AND PRIORITIZING THE NEEDS. CALVARY HOSPITAL USED SECONDARY AND QUALITATIVE DATA TO DETERMINE THREE TOP HEALTH ISSUES BASED ON CAPACITY, RESOURCES, COMPETENCIES, AND NEEDS SPECIFIC TO THE POPULATIONS IT SERVES. ALL NEEDS ARE A PRIORITY WITH PALLIATIVE CARE SERVICES BEING THE MOST SIGNIFICANT NEED. THESE ISSUES ARE WITHIN THE HOSPITAL'S SCOPE, COMPETENCY AND RESOURCES TO IMPACT IN A MEANINGFUL MANNER. CALVARY HOSPITAL'S END OF LIFE PALLIATIVE CARE IS THE WORLD'S MOST COMPREHENSIVE. FOR MORE THAN A CENTURY, IT HAS BEEN TREATING NOT ONLY THE PHYSICAL PAIN, BUT HAS ALSO BEEN PROVIDING ENORMOUS EMOTIONAL RELIEF, TO BOTH THE PATIENT AND THE FAMILY. CALVARY ELIMINATES THE STRESS AND ANXIETY AT A TIME WHEN PEOPLE ARE MOST VULNERABLE. THE HOSPITAL IDENTIFIED THREE PRIMARY SIGNIFICANT NEEDS WITHIN ITS COMMUNITY NEEDS ASSESSMENT:1. PALLIATIVE CARE SERVICES2. BEREAVEMENT SERVICES3. PALLIATIVE CARE PROVIDER EDUCATIONTHE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT PROVIDES TREMENDOUS DETAIL AS TO HOW THE HOSPITAL ADDRESSES THESE NEEDS. PLEASE REFER TO THE HOSPITAL'S WEBSITE AT HTTPS://WWW.CALVARYHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/11/CH_CHNA_BROCHURE_FINAL-11-12-19-1.PDF
PART V, SECTION B, LINE 22D:THE MAXIMUM AMOUNT THAT CALVARY HOSPITAL WILL CHARGE FAP-ELIGIBLE PATIENTS IS 15% OF GROSS CHARGES; THIS REFLECTS AN AMOUNT THAT IS BELOW OUR LOWEST PAYOR.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:CALVARY HOSPITAL INC. USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS.
PART I, LINE 6A:CALVARY HOSPITAL COMPLETED ITS MOST RECENT FULL COMMUNITY BENEFIT REPORT/COMMUNITY HEALTH NEEDS ASSESSMENT IN DECEMBER OF 2020. THIS REPORT IS POSTED ON CALVARY HOSPITAL'S WEBSITE.CALVARY ROUTINELY RECEIVES INPUT FROM ALL HOSPITALS AND HEALTH SYSTEMS IN ITS CATCHMENT AREA; THROUGH ITS PALLIATIVE CARE INSTITUTE, CALVARY WORKS DIRECTLY WITH THE MEDICAL SCHOOLS IN THE NEW YORK AREA, NYC EMS SERVICES AND THE NATIONAL CANCER INSTITUTE. THE TOTALITY OF THIS INPUT ENABLES CALVARY TO PRODUCE A THOROUGH AND TARGETED COMMUNITY SERVICE PLAN EACH YEAR. DURING THE COVID PANDEMIC THESE PROGRAMS WERE SCALED BACK AS COMPARED WITH PRIOR YEARS.
PART I, LINE 7:CALVARY HOSPITAL IS UNIQUE IN THE HEALTHCARE ENVIRONMENT IN THAT IT PROVIDES SERVICES TO A VERY SPECIFIC SET OF PATIENTS: THE TERMINALLY ILL. PATIENTS IN-HOSPITAL CARE AT CALVARY IF THEY HAVE BEEN DIAGNOSED WITH ADVANCED CANCER AND OTHER TERMINAL ILLNESSES, WHICH HAVE NOT RESPONDED TO CURATIVE TREATMENTS AND REQUIRE CONTINUOUS SUPERVISION BY A MEDICAL TEAM. THEY HAVE SEVERE SYMPTOMS RELATED TO THEIR ILLNESS, SUCH AS INFECTIONS, COMPLEX WOUND CARE NEEDS, NAUSEA, SEVERE WEIGHT LOSS, PAIN, OR CONFUSION, OR DUE TO THE SEVERITY OF THEIR SYMPTOMS, CARE AT HOME IS NOT POSSIBLE. DURING THE COVID PANDEMIC, CALVARY CARED FOR COVID RECOVERING PATIENTS. FROM ITS INCEPTION IN 1899, CALVARY HOSPITAL HAS BEEN FAITHFULLY DEVOTED TO PROVIDING PALLIATIVE CARE TO ADULT PATIENTS IN THE ADVANCED STAGES OF CANCER, AND OTHER LIFE-LIMITING ILLNESSES ADDRESSING THE SYMPTOMS OF THE DISEASE, NOT ITS CURE. A VOLUNTARY, NOT-FOR-PROFIT HOSPITAL, OPERATED IN CONNECTION WITH THE ARCHDIOCESE OF NEW YORK, CALVARY CONTINUES TO EMBODY THIS TRADITION OF CARING THROUGH THE SERVICES AND PROGRAMS OFFERED BY AND THROUGH THE DEDICATION AND CONCERN SHOWN BY ITS STAFF MEMBERS.THE HOSPITAL WILL CONTINUE TO BE FAITHFUL TO THIS TRADITION THROUGH A TWOFOLD COMMITMENT. CALVARY WILL STRIVE PRIMARILY TO EXPAND ITS PROGRAMS AND SERVICES TO MEET THE EMERGING PHYSICAL, PSYCHOSOCIAL, AND SPIRITUAL NEEDS OF BOTH PATIENTS AND FAMILIES THROUGH THE PROVISION OF ACUTE INPATIENT, CALVARY HOSPICE AND A BROOKLYN CAMPUS. IN ADDITION, THROUGH THE PALLIATIVE CARE INSTITUTE, THE HOSPITAL ENDEAVORS TO TRANSMIT TO OTHER HEALTH CARE PROFESSIONALS, THROUGH RESEARCH AND EDUCATION, THE KNOWLEDGE AND COMPETENCE WHICH IT HAS DEVELOPED IN THE CARE OF ADULT PATIENTS WITH ADVANCED CANCER AND OTHER LIFE LIMITING ILLNESSES. THROUGH THIS TWOFOLD COMMITMENT, CALVARY HOSPITAL WILL DEEPEN AND STRENGTHEN THE PHILOSOPHY OF COMPASSIONATE CARE WHICH HAS BEEN THE CORNERSTONE OF ITS PROGRAM OF SERVICE, AND WILL OFFER TO THOSE IN OUR EXPANDED COMMUNITY AND OTHERS, A TRADITION OF SUCCESSFUL EXPERIENCE IN THE CARE OF THE ADVANCED CANCER PATIENT.CALVARY HOSPITAL IS THE ONLY FULLY ACCREDITED EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL PROVIDING PALLIATIVE CARE FOR ADVANCED CANCER PATIENTS IN THE UNITED STATES. WITH 225 BEDS IN THE BRONX AND BROOKLYN AND 1180 EMPLOYEES, CALVARY SERVES MORE THAN 2734 PATIENTS ANNUALLY THROUGH ITS HOME CARE AND HOSPICE PROGRAM. CALVARY PROVIDES PALLIATIVE CARE, WHICH IS THE ACTIVE TREATMENT OF THE SYMPTOMS, NOT THE CURE OF THE DISEASE, IN ORDER TO MAKE OUR PATIENTS AS COMFORTABLE AS POSSIBLE. CALVARY'S PROGRAMS INCLUDE INPATIENT CARE CASE MANAGEMENT, CALVARY HOSPICE AND HOMECARE SUPPORT PROGRAMS FOR FAMILIES AND FRIENDS. AS CALVARY APPROACHES THE FUTURE WITH A SENSE OF HOPE AND PROMISE, CALVARY IS EVER MINDFUL OF THE LEGACY OF OUR FOUNDERS, THE WOMEN OF CALVARY, TO PROVIDE COMPREHENSIVE CARE WHILE RECOGNIZING THE INDIVIDUALITY AND DIGNITY OF EVERY PATIENT. AT THE SAME TIME, CALVARY WILL CONTINUE TO DEVELOP NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF TODAY'S WORLD.ACCORDINGLY, CALVARY HOSPITAL IS NOT SUITED TO PROVIDING THE TYPE OF COMMUNITY BENEFITS THAT OTHER TRADITIONAL HOSPITALS PROVIDE.CALVARY REPORTS IN PART VII THE VALUE OF ANY MEDICAID SERVICES IT PROVIDES AS WELL AS FINANCIAL ASSISTANCE COSTS. TO ARRIVE AT THE CHARITY CARE AMOUNTS REPORTED IN PART VII, CALVARY UTILIZES NET REALIZABLE VALUE OF THE SERVICES RENDERED. THIS REPORTING IS CONSISTENT TO WHAT IS PRESENTED IN CALVARYS COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH.
PART II, COMMUNITY BUILDING ACTIVITIES:CALVARY HOSPITAL MAKES A NUMBER OF DIFFERENT SUPPORT GROUPS AVAILABLE TO THE COMMUNITY. THESE SUPPORT GROUPS ARE ADVERTISED ON CALVARY HOSPITAL'S WEBSITE, WWW.CALVARYHOSPITAL.ORG, ON ITS CALENDAR OF EVENTS. IN ADDITION, THE HOSPITAL PUBLISHES "CALVARY IN TOUCH", A QUARTERLY NEWSLETTER ABOUT BEREAVEMENT ISSUES THAT IS AVAILABLE THROUGH THE HOSPITAL'S WEBSITE, SOCIAL MEDIA CHANNELS AND IS CIRCULATED IN HARD COPY BY MAIL.CALVARY HOSPITAL PROVIDES BEREAVEMENT SUPPORT FOR ADULTS WHO HAVE LOST LOVED ONES AT CALVARY HOSPITAL OR CALVARY HOSPICE OR CALVARY HOMECARE, AND THOSE FROM THE COMMUNITY AT LARGE WHO HAVE LOST SOMEONE BECAUSE OF ILLNESS, ACCIDENTS VIOLENCE, OR ANY OTHER CAUSE. GROUPS ARE OFFERED IN THE BRONX, BROOKLYN AND MANHATTAN. DURING THE COVID PANDEMIC, SINCE THESE GROUPS COULD NOT MEET IN-PERSON, THEY MET VIRTUALLY USING ON-LINE TECHNOLOGY.THE HOSPITAL ALSO OFFERS AGE-APPROPRIATE SUPPORT GROUPS FOR CHILDREN, AGES 6 THROUGH 11, AND FOR ADOLESCENTS, AGES 12 TO 18, AND FOR YOUNG ADULTS, AGES 18 TO 25. THESE COMMUNITY SUPPORT GROUPS WHICH WERE PROVIDED VIRTUALLY, INCLUDE BUT ARE NOT LIMITED TO: - SUPPORT GROUPS FOR BEREAVED PARENTS - MINDFULNESS AND MOVEMENT THROUGH GRIEF GROUP- PRECIOUS MOMENTS SUPPORT GROUP FOR CHILDREN AGES 6 TO 9 - TWEEN BEREAVEMENT GROUPS FOR TWEENS AGES 10 TO 12- TEEN BEREAVEMENT GROUPS FOR TEENS AGES 13-17- YOUNG ADULTS AGES 18-25- DEATH OF A SPOUSE/PARTNER BEREAVEMENT GROUPS - DEATH OF A PARENT BEREAVEMENT GROUPS - MEN DISCUSSION GROUP- COVID LOSS GROUPS- SUPPORTIVE CONNECTIONS GROUP (FOR GUARDIANS OF BEREAVED CHILDREN)- CAMP COMPASS DAY CAMP FOR BEREAVED CHILDREN OPEN TO ALL CHILDREN WHO HAVE ATTENDED OUR GROUPS ARE FREE OF CHARGE, AND ARE LED BY CALVARY HOSPITAL STAFF AND STAFF HIRED JUST FOR THIS WEEK LONG EVENT. CALVARY HOSPITAL ALSO MAKES AVAILABLE A NUMBER OF DIFFERENT WELLNESS ACTIVITIES TO THE COMMUNITY. THESE WELLNESS ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO ZUMBA (PROVIDED TO STAFF VIA ZOOM), STAFF DRUMMING CLASSES, RECREATIONAL THERAPY AND PET THERAPY AND A FACILITY DOG ON STAFF. CALVARY HOSPITAL'S THERAPEUTIC RECREATION AND MUSIC THERAPY PROGRAMS WERE CREATED TO GIVE PATIENTS A SENSE OF ACCOMPLISHMENT AND TO RELIEVE THE SUFFERING OF OUR PATIENTS AND THEIR FAMILIES. DURING THE COVID PANDEMIC, THESE IN-PERSON PROGRAMS WERE PLACED ON-HOLD. CALVARY'S MUSIC THAT HEALS PROGRAM WAS ADDED IN 2021. THERAPEUTIC RECREATION ACTIVITIES INCLUDES DRAWING, SCULPTURE, AND CERAMICS PROJECTS; HORTICULTURE; A GAMES AND DISCUSSION HOUR; AND HOLIDAY PARTIES. MUSIC THERAPY OFTEN HELPS SOOTHE PATIENTS AND HELPS THEM FOCUS ON LIFE. OUR BOARD CERTIFIED MUSIC THERAPISTS USE MUSIC THERAPY INTERVENTIONS TO SOOTHE PATIENTS, RELIEVE ANXIETY, REMINISCE, AND EASE PAIN AND SUFFERING. MUSIC THERAPY INTERVENTIONS MAY ALSO PROVIDE RELEASE IN THE LAST HOURS OR MOMENTS OF LIFE. PATIENTS RECEIVING MUSIC THERAPY SOMETIMES WRITE SONGS ASSISTED BY THE MUSIC THERAPISTS TO LEAVE FOR LOVED ONES, OR FIND OTHER WAYS TO OPEN THEIR HEARTS THROUGH MUSIC. OUR CLINICIANS REPORT THAT IN SOME CASES, THE ONLY TIME A PATIENT LAUGHS OR SMILES IS DURING A MUSIC THERAPY SESSION. WE ALSO FIND THAT MUSIC THERAPY IS AVAILABLE AT BOTH INPATIENT LOCATIONS AND IS ALSO ONE OF THE SERVICES WE OFFER THROUGH CALVARY HOSPICE AND HOMECARE. IN 2021, THE THERAPEUTIC RECREATION STAFF PROVIDED A BOX OF 6 GOURMET CUPCAKES TO EACH PATIENT TO SHARE WITH THEIR VISITORS IN CELEBRATION OF THANKSGIVING. IN CELEBRATION OF CHRISTMAS, EACH PATIENT WAS GIVEN A HOLIDAY MUG FILLED WITH CANDY.IN KEEPING WITH OUR MISSION TO SHARE OUR KNOWLEDGE AND EXPERIENCE WITH OTHERS, CALVARY OFFERS INTERNSHIP PROGRAMS IN THE FOLLOWING AREAS: SOCIAL WORK, BEREAVEMENT, PALLIATIVE CARE AND MUSIC THERAPY, WHICH IS RECOGNIZED AS A NATIONAL CLINICAL TRAINING SITE BY THE AMERICAN MUSIC THERAPY ASSOCIATION. IN 2021, THE EDDIE HIGGINS SCHOLARSHIP WAS AWARDED TO ITS EDDIE HIGGINS RECIPIENTS THROUGH THE SCHOLARSHIP PROGRAM, CALVARY HOSPITAL PROVIDES LEADERSHIP DEVELOPMENT AND TRAINING. THE EDDIE HIGGINS SCHOLARSHIP IS NAMED AFTER A CHERISHED MEMBER OF THE CALVARY FAMILY WHO CAME TO THE HOSPITAL AS A YOUNG BOY. EDDIE WAS HOSPITALIZED INTERMITTENTLY FOR 15 YEARS AT CALVARY UNTIL HIS DEATH IN 1982 AT THE AGE OF 29. EDDIE IS REMEMBERED FOR HIS LOVE OF GOD AND HIS REMARKABLE COURAGE DESPITE HIS ILLNESS. CALVARY HAS GIVEN THE ANNUAL SCHOLARSHIP SINCE 1985. IN 2021 THE ANNUAL MENTORS THROUGH MOURNING WORKSHOP WAS PLACED ON HOLD. THIS IS NORMALLY PROVIDED FREE OF CHARGE, FOR SCHOOL PROFESSIONALS TO EDUCATE THEM ON THE GRIEF PROCESS OF CHILDREN. ALSO OFFERED IS AN 11 WEEK ANNUAL COURSE THAT WE CHARGE $50/SESSION, WHICH IS OFFERED IN THE BRONX AND BROOKLYN. IN 2021, THE PANDEMIC PROMPTED US TO OFFER THIS REMOTELY.
PART III, LINE 2:THE METHODOLOGY THAT CALVARY HOSPITAL EMPLOYS TO ESTIMATE ITS BAD DEBT EXPENSE IS CAPTURED IN ITS AUDITED FINANCIAL STATEMENTS. THE FOOTNOTE IS REPRODUCED BELOW:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE.
PART III, LINE 4:THE HOSPITAL'S BAD DEBT FOOTNOTE IS REPORTED THUSLY IN ITS AUDITED FINANCIAL STATEMENTS: THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED.THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE HOSPITAL ALSO RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO COVER THE ESTIMATED WRITE-OFFS RESULTING FROM INSURED PATIENTS WHOSE BENEFITS ARE SUBSEQUENTLY DETERMINED TO HAVE BEEN EXHAUSTED DURING THEIR HOSPITALIZATION OR WHOSE COVERAGE IS DENIED BY THE INSURER.PART III, LINE 5: CALVARY HOSPITAL DOES NOT TRADITIONALLY TREST THE SHORTFALL ON ITS MEDICARE REIMBURSEMENT AS CHARITY CARE AND DOES NOT REPORT IT AS SUCH IN ITS AUDITED FINANCIAL STATEMENTS. PART III, LINE 7: CALVARY HOSPITAL INC. HAS REPORTED A SHORTFALL IN PART III SECTION B LINE 7. THE EXPENSES, REVENUES AND SHORTFALL REPORTED IN PART III LINES 5-7 WERE DEVELOPED FROM THE 2021 CALVARY HOSPITAL, INC. COST REPORTS FILED WITH THE NYS DOH AND NATIONAL GOVERNMENT SERVICES (MEDICARE INTERMEDIARY).
PART III, LINE 9B:CALVARY HOSPITAL, INC.'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CALVARY HOSPITAL'S COLLECTION POLICY IS THAT ALL REASONABLE EFFORTS WILL BE MADE BY PATIENT ACCOUNTS REPRESENTATIVES TO OBTAIN PAYMENT AND TO SETTLE PATIENT ACCOUNTS RECEIVABLE ON A CONSISTENT BASIS. THE PATIENT ACCOUNTING SYSTEM WILL BEAR ENTRIES OF SUCH ATTEMPTS, INCLUDING THE DATE AND THE REPRESENTATIVE'S INITIALS. ACCOUNTS RESISTING SETTLEMENT MAY BE REFERRED TO A COLLECTION AGENCY.
PART VI, LINE 2:CALVARY HOSPITAL IS THE ONLY FULLY ACCREDITED EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL PROVIDING PALLIATIVE CARE FOR ADULT PATIENTS WITH ADVANCED CANCER AND OTHER LIFE-LIMITING ILLNESSES IN THE UNITED STATES.CALVARYCARE MAY BE OBTAINED AT OUR 200-BED BRONX CAMPUS OR 25-BED BROOKLYN CAMPUS. THROUGHCALVARY HOSPICE AND HOMECARE, CARE IS ALSO PROVIDED EACH DAY IN HUNDREDS OF PRIVATE HOMES, SKILLED NURSING AND ASSISTED LIVING FACILITIES IN NEW YORK CITY, WESTCHESTER, NASSAU, AND ROCKLAND COUNTIES. THE PALLIATIVE CARE CONSULTATION SERVICE HAS BEEN ADDED TO THE EXISTING HOMECARE PROGRAMS WHICH INCLUDE A CERTIFIED HOME HEALTH AGENCY AND CERTIFIED HOSPICE (HOSPITAL-BASED). THE PALLIATIVE CARE CONSULTATION PROGRAM IS DESIGNED TO MEET THE NEEDS OF PATIENTS WHO, DUE TO CHRONIC ILLNESSES AND ADVANCING DISEASE, DO NOT MEET HOSPICE CRITERIA BUT CAN BENEFIT FROM INTERVENTIONS DIRECTED AT SYMTION MANAGEMENT, ADVANCE CARE PLANNING AND INTERMITTENT OVERSIGHT. WHEN PATIENTS AT HOME REQUIRE SHORT TERM INPATIENT CARE, WE CAN SEAMLESSLY TRANSFER TO THEM TO CALVARY HOSPITAL OR AS WELL AS TO THE DAWN GREENE HOSPICE AT MARY MANNING WALSH HOME IN MANHATTAN AND OR THE OZANAM HALL OF QUEENS. THROUGH THE CALVARY HOSPICE PROGRAM, CALVARY ALSO PROVIDES INPATIENT CARE TO SELECT PATIENTS AT NYP COLUMBIA MEDICAL CENTER, NYP CORNELL MEDICAL CENTER, NYP LOWERMANHATTAN HOSPITAL, NUP ALLEN HOSPITAL AND THE BROOKLYN HOSPITAL. CALVARY TREATS PATIENTS BOTH AS INPATIENT AND HOMECARE AND HOSPICE THROUGH THE CALVARY HOSPICE AND HOMECARE PROGRAM. CALVARY HOSPITAL USES A VARIETY OF METHODS AND SERVICES TO GATHER COMMUNITY INPUT TO ASSESS THE NEEDS OF THE COMMUNITY, AND TO ASSURE INPUT IN THE COMMUNITY SERVICE PLAN. SOME OF THESE METHODS ARE:A. COMMUNITY OUTREACH SERVICES: COMMUNITY OUTREACH SERVICES FUNCTIONS AS A LIAISON WITH THE COMMUNITY, REFERRERS, PHYSICIANS, PATIENTS, AND FAMILIES AND FACILITATES ADMISSION TO CALVARY. THE DEPARTMENT OUTREACHES THROUGH THE TRI-STATE REGION AND EDUCATES THE HEALTH CARE AND PATIENT COMMUNITIES AS TO THE CONTINUUM OF SERVICES CALVARY PROVIDES (INPATIENT, CALVARY HOSPICE AND HOMECARE), THROUGH ON-SITE VISITS, PUBLIC PRESENTATIONS AND PARTICIPATION IN COMMUNITY AND PROVIDER ACTIVITIES, THE OUTREACH STAFF CONTINUALLY ASSESSES THE NEEDS OF THE COMMUNITY. THE BEREAVEMENT DEPARTMENT ALSO FACILITATES A COMMUNITY OUTREACH TO EDUCATE MENTAL HEALTH AGENCIES AND SCHOOLS ABOUT GRIEF AND BEREAVEMENT AS WELL AS PROVIDE SUPPORT TO AGENCIES THAT ARE EXPERIENCING A DEATH IN THEIR COMMUNITY. B. PROFESSIONAL ADVISORY BOARD: THE PROFESSIONAL ADVISORY BOARD WAS ESTABLISHED IN 1992 TO OBTAIN INPUT FROM THE COMMUNITY. THE ADVISORY BOARD MEETS AT LEAST ANNUALLY AND IS COMPRISED OF PHYSICIANS, NURSES, AND SOCIAL WORKERS, REPRESENTING HOSPITALS, AND HOME CARE AGENCIES, AS WELL AS THE COMMUNITY. THIS GROUP HAS CONTRIBUTED A VARIETY OF IDEAS FOR ENHANCING SERVICES TO THE COMMUNITY. IN 2021, THERE WERE AT LEAST THREE SUCH MEETINGS BEFORE THE QUARANTINE AND ONE FULL MEETING VIA ZOOM. C. COMMUNITY PLANNING BOARD: EACH YEAR THE HOSPITAL INVITES THE HEALTH COMMITTEE OF COMMUNITY PLANNING BOARD *11 TO VISIT THE HOSPITAL. DUE TO THE PANDEMIC, IN 2021, CALVARY WAS UNABLE TO EXTEND SUCH INVITATION. D. OUTREACH REPRESENTATION FOR HEALTH CARE PROFESSIONALS: COMMUNITY OUTREACH PARTICIPATES IN THE EDUCATION OF STAFF IN SURROUNDING HOSPITALS INCLUDING DOCTORS, NURSES, CASE MANAGERS AND SOCIAL WORKERS. CALVARY HOSPITAL, INC. ALSO HAS PUBLIC PARTICIPATION IN THE EXTENDED COMMUNITY THROUGH PARTICIPATION IN: - GREATER NEW YORK HOSPITAL ASSOCIATION - HOSPITAL ASSOCIATION OF NEW YORK STATE- AMERICAN HOSPITAL ASSOCIATION - NEW YORK CITY DEPARTMENT OF HEALTH - NEW YORK STATE DEPARTMENT OF HEALTH- CATHOLIC HEALTHCARE ASSOCIATION - CMSTHROUGH ONGOING PARTICIPATION IN THE GROUPS ABOVE, CALVARY HOSPITAL CONTINUALLY MONITORS THE TRENDS IN THE HEALTHCARE NEEDS OF THE LARGER COMMUNITY. ALTHOUGH THE NATURE OF ITS SERVICES IS LIMITED BY ITS SPECIALIZED MISSION, CALVARY HAS IDENTIFIED A VARIETY OF ACTIVITIES TO PARTICIPATE IN IMPROVING THE HEALTH OF ITS EXTENDED COMMUNITY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT P LA RUE
PRESIDENT/CEO OF ARCHCARE$0$988,763$0$281,992$0$139,463$0$330,725$0$23,048$0$1,763,991$0$291,706
FRANK A CALAMARI
PRESIDENT/EXECUTIVE DIRECTOR$521,594$0$63,480$0$159,910$0$21,750$0$12,137$0$778,871$0$0$0
DEVMANI JAITLY MD
ATTENDING PHYSICIAN$252,005$0$0$0$323,349$0$21,750$0$16,756$0$613,860$0$0$0
CHRISTOPHER COMFORT MD
COO$407,845$0$20,000$0$102,183$0$21,750$0$16,757$0$568,535$0$0$0
ANDREW ZARETSKY MD
ATTENDING PHYSICIAN$205,341$0$3,000$0$211,165$0$21,750$0$23,509$0$464,765$0$0$0
ANDREW V GRECO
VICE PRESIDENT & CFO$307,289$0$3,000$0$86,019$0$21,750$0$33,935$0$451,993$0$0$0
MUHAMMAD AMIR SHAHID
ATTENDING PHYSICIAN$224,005$0$3,000$0$141,502$0$21,750$0$36,866$0$427,123$0$0$0
ROBERT BRESCIA MD
DIR. PALLIATIVE CARE INST$338,553$0$3,000$0$25,247$0$21,750$0$8,435$0$396,985$0$0$0
MARGARET SQUILLACE
ATTENDING PHYSICIAN - HOSPICE$172,517$0$1,041$0$177,341$0$15,058$0$15,673$0$381,630$0$0$0
ROBERT SIEGEL
MEDICAL DIRECTOR (THRU 9/2021)$210,228$0$0$0$98,963$0$21,727$0$35,866$0$366,784$0$0$0
MICHAEL J BRESCIA MD
EXECUTIVE DIRECTOR EMERITUS$0$0$0$0$334,682$0$0$0$0$0$334,682$0$0$0
NANCY D'AGOSTINO RN
VP OF COMMUNITY PATIENT SVCS$258,001$0$3,000$0$14,256$0$18,889$0$23,509$0$317,655$0$0$0
MARGARET PELKOWSKI
VP FOR PATIENT CARE SERVICE$229,066$0$3,000$0$12,275$0$16,375$0$11,479$0$272,195$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AEFFECTIVE JUNE 1, 1998, THE HOSPITAL ESTABLISHED THE CALVARY HOSPITAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE PENSION BENEFITS FOR WAGES EARNED BY CERTAIN PHYSICIANS AND SENIOR EXECUTIVE STAFF WITH COMPENSATION IN EXCESS OF THE IRS LIMITS AND ALSO ESTABLISHED THE CALVARY HOSPITAL KEY EMPLOYEE SHARE OPTION PLAN(KEYSOP) TO PROVIDE ADDITIONAL AND ALTERNATIVE FORMS OF COMPENSATION TO KEY EMPLOYEES. PRIOR TO 2002, THE HOSPITAL UTILIZED THE KEYSOP TO FUND THE SERP. AS A RESULT OF THE IRS 457 REGULATIONS WHICH WERE ISSUED DURING 2002, THE UTILIZATION OF THE KEYSOP TO FUND THE SERP BECAME UNFEASIBLE. AFTER CONSIDERATION OF VARIOUS REPLACEMENT OPTIONS, IN 2003, CALVARY HOSPITAL CHOSE THE TAX GROSS-UP OPTION, WHEREBY, INDIVIDUAL PARTICIPANTS' DEFERRALS WOULD BE GROSSED-UP TO DUPLICATE THE BENEFITS HE WOULD RECEIVE IN A TAX-DEFERRED ARRANGEMENT AND PAID THEM OUT DIRECTLY TO THE PARTICIPANTS. THE FOLLOWING EXECUTIVES RECEIVED TAX GROSS-UP PAYMENTS IN 2021 IN ORDER TO DUPLICATE A TAX DEFERRED VEHICLE: (THE AMOUNTS WERE CALCULATED BY FRANK J. WALTERS ASSOCIATES, INC. UTILIZING EXPECTED TAX RATES TO CALCULATE THE NET AMOUNTS.) ANDREW GRECO, CHIEF FINANCIAL OFFICER, RECEIVED A GROSS-UP FOR TAXES ON HIS SERP DISTRIBUTION. THE TAX GROSS-UP IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINES 4A-BFORMER EXECUTIVE DIRECTOR, MICHAEL BRESCIA, M.D., AND MEDICAL DIRECTOR, ROBERT SIEGEL, M.D., RECEIVED A SEVERANCE PAYMENT IN CALENDAR YEAR 2021 IN THE AMOUNT OF $220,121 AND $70,769 RESPECTIVELY. THE SEVERANCE PAYMENT IS INCLUDED IN FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) THE FOLLOWING CALVARY HOSPITAL OFFICERS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS (WHICH ARE INCLUDED IN COLUMN (B)(III) OTHER REPORTABLE COMPENSATION: FRANK CALAMARI - $95,976 ANDREW GRECO - $65,834 GROSS *INCLUDES TAX GROSS-UP $29,428 PRESIDENT & CEO OF ARCHCARE, SCOTT P. LA RUE, PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION OF $139,463 FROM THE PLAN IN CALENDAR YEAR 2021. THIS DISTRIBUTION IS REPORTED AS CURRENT YEAR WAGES IN SCHEDULE J, PART II, COLUMN (B)(III) AND IS LIKEWISE REPORTED IN COLUMN (F) TO REFLECT THE PAYOUT OF PREVIOUSLY DEFERRED WAGES. THE BALANCE OF COMPENSATION REPORTED IN COLUMN (F) REPRESENTS THE PAYOUT OF A DEFERRED BONUS THAT WAS REPORTED IN COLUMN (C) ON PREVIOUS FORMS 990.
PART I, LINE 7CALVARY HOSPITAL ENGAGED THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT SPECIALIZES IN HEALTHCARE EXECUTIVE COMPENSATION TO DESIGN ITS EXECUTIVE INCENTIVE COMPENSATION PLAN. AS PART OF THE PLAN, THE CALVARY EXECUTIVE TEAM DEVELOPS A NUMBER OF STRATEGIC GOALS THAT EXECUTIVES MUST MEET TO PARTICIPATE IN THE INCENTIVE PROGRAM; THESE GOALS ARE THEN REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD. AT YEAR END, CALVARY'S CEO PRESENTS THE RESULTS FROM THE PREVIOUS YEAR IN TERMS OF WHICH GOALS WERE ACHIEVED BY THE EXECUTIVE TEAM. THE COMPENSATION COMMITTEE OF THE BOARD THEN CONVENES WITH INDEPENDENT COMPENSATION CONSULTING FIRM TO DETERMINE AND APPROVE THE BONUSES THAT ARE DISTRIBUTED TO EACH EXECUTIVE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MICHAEL J BRESCIA MD AND ROBERT BRESCIA MD HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6PURSUANT TO CALVARY HOSPITAL'S BYLAWS, CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE") IS ITS SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ACALVARY HOSPITAL IS A FULL PARTICIPATING MEMBER OF CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE"), A HEALTH CARE DELIVERY SYSTEM IN NEW YORK STATE. THE CALVARY HOSPITAL BYLAWS RESERVE CERTAIN RIGHTS TO CATHOLIC HEALTH SYSTEM AS THE SOLE MEMBER. ONE OF THOSE RIGHTS, IN ARTICLE IV, IS THE POWER TO APPOINT AND REMOVE BOARD MEMBERS (AS WELL AS THE CHAIRMAN OF THE BOARD).
FORM 990, PART VI, SECTION A, LINE 7BPROVIDENCE HEALTH SERVICES IS THE SOLE MEMBER OF CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE"), WHICH IS, IN TURN, SOLE MEMBER OF CALVARY HOSPITAL. PROVIDENCE IS THE SPONSOR OF CALVARY HOSPITAL (AND ITS RELATED ENTITIES) AND AS SUCH HAS BEEN RESERVED CERTAIN POWERS IN CALVARY HOSPITAL'S BYLAWS, EXERCISED IN CONJUNCTION WITH RECOMMENDATIONS MADE BY CALVARY HEALTH CARE SYSTEM (AS SOLE CORPORATE MEMBER). THESE POWERS ARE AS FOLLOWS: 1. RIGHT TO AMEND BYLAWS; 2. RIGHT TO CHANGE CALVARY HOSPITAL'S MISSION; 3. RIGHT TO APPROVE ANY MERGER, JOINT VENTURE, OR DISSOLUTION OF THE FUND; 4. APPROVAL WITH RESPECT TO CERTAIN REAL PROPERTY TRANSACTIONS; 5. APPROVAL OF ANY LEASES EXPECTED TO EXCEED A PERIOD OF 9 YEARS; 6. APPROVAL OF THE FUND ENTERING INTO ANY DEBT INSTRUMENTS; 7. APPROVAL ON THE DISPOSITION OF ANY SIGNIFICANT HISTORICAL ARTIFACTS. AS NOTED ABOVE, THE SOLE MEMBER, CATHOLIC HEALTH CARE SYSTEM HAS BEEN RESERVED THE RIGHT TO MAKE RECOMMENDATIONS TO PROVIDENCE ABOUT ANY OF THE ABOVE ACTIONS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 2021 FORM 990 OF CALVARY HOSPITAL WAS PREPARED BY GRANT THORNTON LLP WITH THE ASSISTANCE OF CALVARY ACCOUNTING PERSONNEL. THE DRAFT FORM 990 WAS REVIEWED BY GRANT THORNTON LLP, THE DIRECTOR OF FINANCE AND THE CFO OF CALVARY HOSPITAL BEFORE DISTRIBUTION OF THE FULL VERSION OF THE FINAL DRAFT TO THE BOARD. A COPY OF THE FORM 990 DRAFT WAS PROVIDED TO EACH MEMBER OF THE CALVARY HOSPITAL BOARD OF DIRECTORS ON NOVEMBER 8, 2022 PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE IN ELECTRONIC FORMAT.
FORM 990, PART VI, SECTION B, LINE 12CEACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR EMPLOYMENT AND POSITION WITH CALVARY HOSPITAL OR CALVARY FUND. CALVARY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE SUBMITTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY AND, IF ANY ARE UNCOVERED, THERE ARE POLICIES IN PLACE TO ENSURE THAT THOSE INDIVIDUALS RECUSE THEMSELVES FROM PARTICIPATING IN ANY DECISION MAKING RELATED TO SUCH CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15CALVARY HOSPITAL, INC. UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF DIRECTORS USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP ADVISE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCHMARKLNG DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR PERSONS IN SIMILAR ORGANIZATIONS. THE HOSPITAL COMMISSIONED ITS MOST RECENT INDEPENDENT COMPENSATION STUDY IN FEBRUARY OF 2021. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE CALVARY COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON.
FORM 990, PART VI, SECTION C, LINE 19CALVARY HOSPITAL MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. IMPACT OF THE COVID-19 PANDEMIC: IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES. AS A RESULT OF THE COVID-19 PANDEMIC, THE HOSPITAL EXPERIENCED A DECLINE IN PATIENT VISITS AND RELATED REVENUES. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, THE HOSPITAL INCURRED ADDITIONAL COSTS FOR TESTING, PERSONAL PROTECTIVE EQUIPMENT, THIRD-PARTY CONTRACT SERVICES AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. THE HOSPITAL HAS RECENTLY SEEN INCREASES IN ITS PATIENT VISITS, HOWEVER, VOLUMES HAVE NOT RETURNED TO PRE-PANDEMIC LEVELS. MANAGEMENT IS ACTIVELY MONITORING OPERATING REVENUES AND EXPENSES AND BASED ON THE CONTINUING UNCERTAINTIES OF COVID-19, IS UNABLE TO DETERMINE IF IT WILL HAVE A MATERIAL IMPACT ON ITS OPERATIONS FOR THE YEAR ENDING DECEMBER 31, 2022. THE HOSPITAL RECEIVED GRANT PAYMENTS, WHICH ARE CONSIDERED NONEXCHANGE TRANSACTIONS, FROM THE FEDERAL GOVERNMENT DISTRIBUTED UNDER THE CORONAVIRUS AID, RECOVERY AND ECONOMIC SECURITY ("CARES") ACT IN THE AMOUNT OF $25,019,960. AT DECEMBER 31, 2021 AND 2020, $4,784,000 AND $20,235,690 WAS INCLUDED IN OTHER REVENUE IN THE STATEMENT OF OPERATIONS, RESPECTIVELY. THE CARES ACT PAYMENTS ARE SUBJECT TO AUDIT AND COMPLIANCE WITH FEDERAL REGULATIONS AND FUTURE GRANT PAYMENTS ARE UNCERTAIN AT THIS TIME. THE CARES ACT ALSO PROVIDED FOR AN EXPANSION OF THE MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM (MEDICARE ADVANCES) FOR PATIENT SERVICES. UNDER THE PROGRAM, THE HOSPITAL RECEIVED $9,202,800 IN APRIL 2020, AND AT DECEMBER 31, 2020 RECORDED THESE PAYMENTS IN ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS IN THE STATEMENT OF FINANCIAL POSITION. IN 2021, ALL MEDICARE PAYMENTS AND BI-WEEKLY PERIODIC INTERIM PAYMENTS WERE OFFSET BY 25%. AT DECEMBER 31, 2021, THIS AMOUNT HAS BEEN FULLY RECOUPED BY NATIONAL GOVERNMENT SERVICES, THE MEDICARE INTERMEDIARY AND THE BALANCE IS ZERO.
FORM 990, PART XI, LINE 9:PENSION BENEFIT ADJUSTMENT DUE TO CHANGE IN ACTUARIAL VALUATION 8,835,000. RECLASS GRANTS TO AFFILIATE 4,406,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CALVARY PALLIATIVE CARE NETWORK LLC
1740 EASTCHESTER ROADBRONXNY10461HEALTHCARENY$0$0CHC
CALVARY NETWORK INDEP PRACTICE ASSN
1740 EASTCHESTER ROADBRONXNY10461HEALTHCARENY$0$0CPCN
CALVARY NETWORK MANAGEMENT SERVICES LLC
1740 EASTCHESTER ROADBRONXNY10461HEALTHCARENY$0$0CHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CALVARY FUND INC
1740 EASTCHESTER ROADBRONXNY10461133259649FUNDRAISINGNY501(C)(3)12ACHC0
CALVARY HOLDING COMPANY
1740 EASTCHESTER ROADBRONXNY10461061531426MANAGEMENTNY501(C)(3)12AARCHCARE0
ARCHCARE
155 EAST 56TH STREET FLOOR 2NEW YORKNY10022133896624MANAGEMENTNY501(C)(3)10N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1 & 3, COLUMN (F):CHC - CALVARY HOLDING COMPANY PART I, LINE 2, COLUMN (F): CPCN - CALVARY PALLIATIVE CARE NETWORK, INC.
PART II, LINE 2, COLUMN (F):CHCS - CATHOLIC HEALTH CARE SYSTEM