2018-11-13T14:34:19-06:00 2017-12-31 GRANT THORNTON LLP 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2017-01-01 131740274 CALVARY HOSPITAL INC % ANDREW GRECO CALV 7185182069 1740 EASTCHESTER ROAD BRONX NY 104612392 ANDREW GRECO CFO 7185182069 2018-11-13 true Scott Thompsett P00741490 2125990100 209.220.136.124 26377520183175000018 2018-11-13 P 25D858DE85B81CAA8DEDDE0B47ADD735021FFE67 7D14034AF515942D2ABE7F7E27EA16D2649DB046 2017 2019-02-21 02:37:17Z FRANK CALAMARI 1740 EASTCHESTER ROAD BRONX NY 104612392 119474400 false 0928 X WWW.CALVARYHOSPITAL.ORG X 1899 NY CALVARY HOSPITAL IS A FULLY ACCREDITED ACUTE CARE SPECIALTY HOSPITAL PROVIDING PALLIATIVE CARE FOR terminally ill CANCER PATIENTS IN THE UNITED STATES. 17 16 1158 93 0 6211900 4026200 111472200 112934700 1071865 1355518 965635 854482 119721600 119170900 5800 5200 0 0 86870400 88930300 0 0 0 32067900 33195100 118944100 122130600 777500 -2959700 99169100 104449900 63458400 69334300 35710700 35115600 X CALVARY HOSPITAL IS A FULLY ACCREDITED ACUTE CARE SPECIALTY HOSPITAL PROVIDING PALLIATIVE CARE FOR TERMINALLY ILL CANCER PATIENTS IN THE UNITED STATES. false false 86212958 0 86339800 Terminally ill CANCER CARE INPATIENT - CALVARY SERVES ABOUT 21.0% 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 2017, CALVARY CARED FOR MORE THAN 5,327 PATIENTS AND FAMILIES AS INPATIENTS IN OUR 200-BED BRONX CAMPUS AND OUR 25-BED SATELLITE AT NYU LANGONE HOSPITAL IN BROOKLYN, AS OUTPATIENTS, THROUGH OUR CENTER FOR CURATIVE AND PALLIATIVE WOUND CARE; AND THROUGH HOSPICE AND HOME CARE. THE AVERAGE LENGTH OF INPATIENT STAY IS 30.2 DAYS. 21625796 5200 26470100 CALVARY HOSPITAL HOSPICE IS A MEDICARE-CERTIFIED 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 SERVICES 1343116 0 124800 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 THERAPY MEDICAL 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. - TO MAKE A REFERRAL OR TO LEARN MORE ABOUT OUR SERVICES, PLEASE CALL (718) 430-9540. 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 SUPPORT 0 0 0 109181870 true true false true false false false false true true true false true false true true true true false false false false false false false false true true true false true false false false false false false false false false false false false true true false false false true 123 0 true 1158 true false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true false X ANDREW GRECO 7185182069 1740 EASTCHESTER ROAD BRONX NY 104612069 Manfred Altstadt Treasurer 1.0 0.5 X X 0 0 0 John A Decina Director 0.5 0.5 X 0 0 0 Thomas J Fahey Jr MD Chairman of Board 2.0 1.0 X X 0 0 0 Thomas G Ferrara Director (THRU XX/XX) 0.5 0.0 X 0 0 0 Terence Gallagher Director Emeritus (Non-Voting) 0.5 0.0 X 0 0 0 Steven J Golub Director emeritus (non-voting) 0.5 1.0 X 0 0 0 Edward D Heben Director 1.0 0.0 X 0 0 0 Rev Eric P Cruz MDIV MNA Director 1.0 0.0 X 0 0 0 Scott P La rue PRESIDENT/CEO of archcare 1.0 0.0 X 0 1012199 271931 Rena M Murtha RN Director 1.0 0.0 X 0 0 0 Amit Sikdar Director 0.5 0.0 X 0 0 0 Joseph L Demarzo Director 1.0 0.0 X 0 0 0 Joseph A Tarantino Director 1.0 0.5 X 0 0 0 Anne Cote Taylor secretary 1.0 0.0 X X 0 0 0 Carlos Hernandez Director 0.5 1.0 X 0 0 0 MARYANN JULIA POPIEL MD Director (AS OF 02/17) 0.5 0.0 X 0 0 0 paul e travers director 0.5 0.5 X 0 0 0 james harden director 0.5 0.0 X 0 0 0 Michael J Brescia MD Executive Medical Director 37.0 0.0 X 677226 0 35139 Frank A Calamari President/Executive Director 37.0 0.0 X 797657 0 38207 Richard Kutilek Chief Operations Officer 37.0 0.0 X 479915 0 47771 Andrew V Greco Chief Financial Officer 37.0 0.0 X 712291 0 56617 Christopher Comfort MD Med Director 37.0 0.0 X 481065 0 42173 Margaret Pelkowski VP for Patient Care Service 37.0 0.0 X 224735 0 32144 Anthony Taranto Asst. Admin. Environments 37.0 0.0 X 192888 0 26082 Nancy D'Agostino RN Director Home Care/Hospice 37.0 0.0 X 261695 0 47368 Sreenivasa Patibandla MD Staff Physician 37.0 0.0 X 376802 0 28000 Andrew Zaretsky Attending Physician 37.0 0.0 X 346266 0 47771 Robert Brescia MD Director Pal CR 37.0 0.0 X 405052 0 35139 Devmani Jaitly MD Attending Physician 37.0 0.0 X 484245 0 48248 Gail Chrzanowski MD Attending Physician 37.0 0.0 X 325159 0 37662 5764996 1012199 794252 165 false true false Farrell Media Group 887 Kinderkamack Road 1st Fl RIVEREDGE NJ 07661 Advertising/Media 768968 AVANTI HEALTHCARE SERVICES 75 NASSAU TERMINAL ROAD NEW HYDE PARK NY 11040 Medical Services 631397 Cerner Health Services PO Box 959167 ST LOUIS MO 63195 Medical Services 534323 ADP INC PO BOX 842875 BOSTON MA 022842875 PAYROLL SERVICES 432739 ENER-G RUDOX INC 180 E UNION AVENUE EAST RUTHERFORD NJ 07073 power generation svc 408284 36 1350000 5000 2671200 4026200 PATIENT SERVICE REVENUE 900099 112934700 112934700 112934700 610944 610944 0 0 45538 45538 0 45538 45538 1049100 -1026 303500 745600 -1026 744574 744574 0 0 0 0 0 0 0 0 0 PARKING LOT REVENUE 812930 227662 227662 CAFETERIA 900099 182667 182667 RELATED PARTY REIMBURSEMENTS 900099 137500 137500 261115 261115 808944 119170900 113072200 2072500 5200 5200 0 0 0 6407638 4275180 2132458 0 59070805 55930659 3140146 4817142 4306389 510753 14074229 12581965 1492264 4560486 4076946 483540 1521672 1521672 377643 377643 253407 253407 51044 51044 0 0 8255642 8255642 1015355 907699 107656 2155964 1927371 228593 330824 295747 35077 0 2416200 2160015 256185 263712 235751 27961 0 81121 72520 8601 173197 173197 0 2995282 2677698 317584 1181425 1181425 PHARMACEUTICALS 5547409 5547409 MAINTENANCE AND REPAIRS 1634481 1461180 173301 FOOD EXPENSE 1058222 946021 112201 LEASES 449253 449253 3433247 3069225 364022 122130600 109181870 12948730 0 20567 21253 10206533 9861947 0 0 24808800 22797000 0 0 0 0 0 0 141900 181000 762700 887600 96513100 81152400 15178600 15360700 24073800 26628400 0 0 23487100 27622800 0 0 489100 1089200 99169100 104449900 13177100 14895000 0 0 0 0 0 0 126300 126300 0 0 5600000 3733300 0 0 44555000 50579700 63458400 69334300 X 8905400 4471700 24969100 28807700 1836200 1836200 35710700 35115600 99169100 104449900 X -2959700 1996600 368000 X false true X true false X false false false false false false true 27266 false true 23778 51044 false Schedule C, PART II-B, LINE 1i, LOBBYING ACTIVITIES Calvary Hospital engages two individuals to directly lobby congress and other governmental agencies on its behalf. Calvary Hospital incurs indirect lobbying expenditures from its membership in various healthcare associations. The $23,778 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) - The National Association of Long-Term Care Hospitals (NALTH) false true X 26805300 1725600 4295000 2182000 30643900 25378200 1723700 1787400 2084000 26805300 27742000 2037500 -1396800 3004500 25378200 28216530 2515300 -992400 1997430 27742000 25800200 2005600 2095830 1685100 28216530 0.06000 0.94000 false false 538000 538000 33455400 28357978 5097422 57654200 49190484 8463716 4865500 3603938 1261562 15360700 ASSETS OF CALVARY FUND 27622800 F 27622800 0 ACCRUED PENSION LIABILITY 39937700 DUE TO THIRD PARTIES 7861400 MALPRACTICE LIABILITY 1280600 DUE TO ARCHCARE 1500000 50579700 X 121530300 1996600 362800 2359400 119170900 119170900 122125400 122125400 5200 5200 122130600 Schedule D, Part X - FIN 48: 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. Schedule D, Part IV - Escrow and Custodial Arrangements: The Hospital maintains custodial accounts for its patients and various auxiliary groups. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION-RELATED ADJUSTMENT........................($3,767,700) CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF CALVARY FUND, INC. ......................$4,135,700 RECLASS OF GRANT TO AFFILIATE.........................($5,200) TOTAL TO SCHEDULE D, PART XI, LINE 2D ...............$362,800 PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF GRANT TO AFFILIATE .........................$5,200 TOTAL TO SCHEDULE D, PART XII, LINE 4B ................$5,200 true true X true X 300. true X true true false true true 93800 93800 0.00000 15819028 14065187 1753841 0.01300 15912828 14065187 1847641 0.01300 15912828 14065187 1847641 0.01300 15 828061 0.00570 1 2000 0.00010 4 16620 0.00010 2 20157 0.00600 22 866838 0.01190 true 2678800 46060228 49604918 -3544690 X true true 2 1 CALVARY HOSPITAL INC 1740 EASTCHESTER ROAD BRONX NY 10461 CALVARYHOSPITAL.ORG X EXTENDED NEOPLASTIC DISEASE CARE A 2 CALVARY HOSPITAL INC (BROOKLYN CAMP 1740 EASTCHESTER ROAD BRONX NY 11220 CALVARYHOSPITAL.ORG X EXTENDED NEOPLASTIC DISEASE CARE A CALVARY HOSPITAL INC 1 false false true X X 16 false false false true X CALVARYHOSPITAL.ORG X true 17 true CALVARYHOSPITAL.ORG false false true X 300. 300. true true X X X true X CALVARYHOSPITAL.ORG X CALVARYHOSPITAL.ORG X X X X true X X false X X X X false X X false false PART I, LINE 3C: CALVARY HOSPITAL INC. USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS. Form 990, Schedule H, part I, Line 6a & 6b Calvary Hospital completed its most recent full Community Benefit Report/Community Health Needs Assessment in December of 2017. 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. 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. FROM ITS INCEPTION IN 1899, CALVARY HOSPITAL HAS BEEN FAITHFULLY DEVOTED TO PROVIDING PALLIATIVE CARE TO ADULT PATIENTS IN THE ADVANCED STAGES OF CANCER, 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, HOME CARE, 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 THE ADVANCED CANCER PATIENT. 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 1,158 EMPLOYEES, CALVARY SERVES MORE THAN 5,327 PATIENTS ANNUALLY. 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, HOSPICE, HOME CARE AND 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. Form 990, Schedule H, 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 BI-MONTHLY NEWSLETTER ABOUT BEREAVEMENT ISSUES that is AVAILABLE THROUGH THE HOSPITAL'S WEBSITE. CALVARY HOSPITAL PROVIDES BEREAVEMENT SUPPORT FOR ADULTS WHO HAVE LOST LOVED ONES AT CALVARY HOSPITAL OR CALVARY@HOME, 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. 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 INCLUDE BUT ARE NOT LIMITED TO: - SUPPORT GROUPS FOR BEREAVED PARENTS - PRECIOUS MOMENTS SUPPORT GROUP FOR CHILDREN AGES 6 TO 9 - TWEENs BEREAVEMENT GROUP FOR TWEENS AGES 10 TO 12 - Young adults ages 18-25 - DEATH OF A SPOUSE BEREAVEMENT GROUP - DEATH OF A PARENT BEREAVEMENT GROUP - MEN ONLY GROUP - PSYCHOTHERAPY GROUP - CAMP COURAGEOUS DAY CAMP FOR BEREAVED CHILDREN GROUPS ARE OPEN TO ALL, ARE FREE OF CHARGE, AND ARE LED BY CALVARY HOSPITAL STAFF. CALVARY HOSPITAL ALSO MAKES AVAILABLE A NUMBER OF DIFFERENT WELLNESS ACTIVITIES TO THE COMMUNITY. THESE WELLNESS ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO YOGA, zumba, MASSAGE THERAPY and staff drumming CLASSES AND RECREATIONAL THERAPY. 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. 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@HOME. IN KEEPING WITH OUR MISSION TO SHARE OUR KNOWLEDGE AND EXPERIENCE WITH OTHERS, CALVARY OFFERS INTERNSHIP PROGRAMS IN THE FOLLOWING AREAS: PALLIATIVE CARE AND MUSIC THERAPY, WHICH IS RECOGNIZED AS A NATIONAL CLINICAL TRAINING SITE BY THE AMERICAN MUSIC THERAPY ASSOCIATION. THROUGH ITS EDDIE HIGGINS 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. CALVARY HOSPITAL IS VERY ACTIVE IN THE COMMUNITY AND PARTICIPATES IN ANNUAL EVENTS SUCH AS THE COMMUNITY COLUMBUS DAY PARADE AND THE ANNUAL ORCHARD BEACH BREAST CANCER WALK. Form 990, Part III, Line 4 - Bad Debt Footnote 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 Hospitals 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 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 5: Calvary Hospital does not traditionally treat 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 2017 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. Form 990, Schedule H, Part V, SECTION B, LINE 11: Calvary Hospital is aN EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL that provides very specialized service to a specific segment of the community: the terminally ill. CALVARY HOSPITAL was established to service that specific community and not the general healthcare goals of the community. Where the Community's needs aligned with the healthcare mission of Calvary Hospital, those needs have been addressed. Form 990, Schedule H, 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. PART VI, LINE 2: CALVARY HOSPITAL IS THE ONLY FULLY ACCREDITED EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL PROVIDING PALLIATIVE CARE FOR ADULT ADVANCED CANCER PATIENTS IN THE UNITED STATES LOCATED IN THE BRONX AND BROOKLYN. 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 HOSPITAL. 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, HOME CARE, AND HOSPICE NURSING HOME HOSPICE). THROUGH ON-SITE VISITS, PUBLIC PRESENTATIONS AND PARTICIPATION IN COMMUNITY AND PROVIDER ACTIVITIES, THE OUTREACH STAFF CONTINUALLY ASSESSES THE NEEDS OF THE 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. C. COMMUNITY PLANNING BOARD: EACH YEAR THE HOSPITAL INVITES THE HEALTH COMMITTEE OF COMMUNITY PLANNING BOARD *11 AND *10 TO VISIT THE HOSPITAL AND MEET WITH SENIOR STAFF. D. OUTREACH REPRESENTATION (OPEN HOUSE) FOR HEALTH CARE ROFESSIONALS: COMMUNITY OUTREACH HOSTS OPEN HOUSES AT BOTH THE BRONX AND BROOKLYN LOCATIONS TO PROVIDE INFORMATION TO AND RECEIVE INFORMATION FROM ITS REFERRERS. 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 - CMS THROUGH 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. PART VI, LINE 3: EACH PERSON REQUESTING CALVARY'S SERVICES MUST BE MADE AWARE OF CALVARY'S UNCOMPENSATED (FREE) SERVICES OR DISCOUNTED SERVICES PROGRAM AS FOLLOWS: 1. DISTRIBUTE AN INDIVIDUAL NOTICE TO EACH PERSON WHO IS SEEKING SERVICES ON BEHALF OF HIMSELF OR ANOTHER. THIS NOTICE IS PASSED TO THE INDIVIDUAL USUALLY AT THE POINT OF ADMISSION OR REGISTRATION WHEN FINANCIAL ARRANGEMENTS ARE BEING DISCUSSED. THE "NOTICE OF AVAILABILITY OF UNCOMPENSATED (FREE) SERVICES OR DISCOUNTED SERVICES" IS UPDATED ANNUALLY. 2. POST SIGNS PROVIDED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES CONSPICUOUSLY IN THE ADMITTING OFFICE, BUSINESS OFFICE, CLINICS, HOME HEALTH AGENCY, AND HOSPICE AREAS. THE SIGNS ARE TO BE IN ENGLISH AND SPANISH. ADDITIONALLY, CALVARY HAS ACCESS TO A LANGUAGE TELEPHONE SERVICE THAT ADDS 240 ADDITIONAL LANGUAGES TO ENGLISH AND SPANISH. 3. PUBLISH NOTICE OF HILL-BURTON UNCOMPENSATED SERVICES OBLIGATION ANNUALLY IN LOCAL NEWSPAPER IN SERVICE AREA (NEW YORK TIMES LEGAL). PART VI, LINE 4: CALVARY HOSPITAL'S MAIN CAMPUS IS LOCATED IN THE BRONX, NY. THE BRONX IS CONSIDERED THE PRIMARY COMMUNITY FOR THE PURPOSES OF PUBLIC HEALTH PLANNING, AND 43% OF ITS EMPLOYEES RESIDE IN THE PRIMARY SERVICE AREA. IN ADDITION, AS A TERTIARY REFERRAL CENTER FOR ADVANCED DISEASE, CALVARY HOSPITAL SERVES THE ENTIRE TRI-STATE REGION. THE SECONDARY SERVICE IS DETERMINED BASED ON CURRENT REFERRAL PATTERNS. THE PRIMARY REFERRAL SOURCES FOR ADMISSIONS CONTINUE TO BE THE ACUTE CARE HOSPITALS. CURRENTLY 62% OF ADMISSIONS ARE REFERRED BY HOSPITALS LOCATED WITHIN THE BOROUGHS OF NEW YORK CITY, ROCKLAND, AND WESTCHESTER COUNTIES, LONG ISLAND, AND THE STATES OF NEW JERSEY AND CONNECTICUT. OTHER REFERRAL SOURCES ARE CALVARY HOSPITAL HOME CARE, HOSPICE, AND OTHER HOME CARE AND HOSPICE AGENCIES. FAMILIES, PHYSICIANS, NURSING HOMES, AND COMMUNITY AGENCIES. IN 2001, CALVARY EXPANDED ITS SERVICES WITH THE OPENING OF CALVARY'S BROOKLYN CAMPUS, AT NYU LANGONE HOSPITAL - BROOKLYN. PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NY true CALVARY HOLDING COMPANY 1740 EASTCHESTER ROAD BRONX NY 10461 061531426 501(C)(3) 5200 GENERAL SUPPORT 1 PART II Calvary Hospital issued one grant in 2017 to its parent organization, CalvarY Holding Company, Inc. to reimburse it for expenses incurred on behalf of the Hospital. The Hospital does not monitor the use of grant funds as the issuance of the grant is solely to reimburse expenses already incurred. X X false true X X X X false true false false false false false true false Scott P La rue PRESIDENT/CEO of archcare 735646 188705 87848 251304 20627 1284130 210000 Michael J Brescia MD Executive Medical Director 413007 0 79313 0 184906 0 28000 0 7139 0 712365 0 120321 0 Frank A Calamari President/Executive Director 501907 0 98732 0 197018 0 28000 0 10207 0 835864 0 118189 0 Richard Kutilek Chief Operations Officer 298362 0 59242 0 122311 0 28000 0 19771 0 527686 0 77051 0 Andrew V Greco Chief Financial Officer 281799 0 57801 0 372691 0 28000 0 28617 0 768908 0 46260 0 Christopher Comfort MD Med Director 357424 0 62826 0 60815 0 28000 0 14173 0 523238 0 0 0 Margaret Pelkowski VP for Patient Care Service 218910 0 0 0 5825 0 22482 0 9662 0 256879 0 0 0 Anthony Taranto Asst. Admin. Environments 180555 0 0 0 12333 0 18943 0 7139 0 218970 0 0 0 Nancy D'Agostino RN Director Home Care/Hospice 247439 0 0 0 14256 0 26689 0 20679 0 309063 0 0 0 Sreenivasa Patibandla MD Staff Physician 203137 0 0 0 173665 0 28000 0 0 0 404802 0 0 0 Andrew Zaretsky Attending Physician 197341 0 0 0 148925 0 28000 0 19771 0 394037 0 0 0 Robert Brescia MD Director Pal CR 320641 0 63372 0 21039 0 28000 0 7139 0 440191 0 0 0 Devmani Jaitly MD Attending Physician 241898 0 0 0 242347 0 28000 0 20248 0 532493 0 0 0 Gail Chrzanowski MD Attending Physician 309449 0 0 0 15710 0 28000 0 9662 0 362821 0 0 0 PART I, LINE 1A EFFECTIVE 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 2017 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 and for dependent tuition reimbursement. The tax gross-up is reported in Schedule J, Part II, column (b)(iii). Christopher Comfort, Medical Director, received a gross-up for taxes for dependent tuition reimbursement. The tax gross-up is reported in Schedule J, Part II, column (b)(iii). THE ORGANIZATION PROVIDED SOCIAL CLUB DUES IN 2017 FOR FRANK CALAMARI AND THE DUES WERE INCLUDED AS TAXABLE COMPENSATION. PART I, LINE 4B 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 - $118,189.00 MICHAEL BRESCIA - $120,321.00 Richard Kutilek - $77,051.00 Andrew Greco- $46,260.40 President & CEO of Archcare, Scott p. La Rue participated in a supplemental nonqualified retirement plan and received an $18,000 employer contribution to the plan in calendar year 2017. President LaRue received a distribution in the amount of $87,848 that was included in his W-2 (and is reported in Schedule J, part II, Column (b)(iii). PART I, LINE 7 Calvary 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, Calvarys 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 the independent compensation consulting firm to determine and approve the bonuses that are distributed to each executive. FORM 990, PART VI, SECTION A, LINE 6: Pursuant to Calvary Hospitals bylaws, Catholic Health Care System ("archcare") is its sole corporate member. FORM 990, PART VI, SECTION A, LINE 7A: Calvary 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 7B: Providence 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 Hospitals 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 Hospitals mission; 3. Right to approve any merger, joint venture, or dissolution of the Fund; 4. Approval with respect to certain real property transactions exceeding $400,000; 5. Approval of any leases expected to exceed a period of 9 years; 6. Approval of the Fund entering into any debt instruments in an amount greater than $400,000; 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 11: THE 2017 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 September 18, 2018 PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE IN ELECTRONIC FORMAT. FORM 990, PART VI, SECTION B, LINE 12C: EACH 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 15: CALVARY 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. 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 19: CALVARY 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. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: PENSION RELATED ADJUSTMENTS...................($3,767,700) CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF CALVARY FUND, INC.............$4,135,700 TOTAL TO FORM 990, PART XI, LINE 9...............$368,000 CALVARY PALLIATIVE CARE NETWORK LLC 1740 EASTCHESTER ROAD Bronx NY 10461 HEALTHCARE NY 0 CHC CALVARY NETWORK INDep PRACTICE ASSN 1740 EAsTCHESTER ROAD Bronx NY 10461 HEALTHCARE NY 0 CPCN CALVARY NETWORK MANAGEMENT SERVICES LLC 1740 EASTCHESTER ROAD Bronx NY 10461 HEALTHCARE NY 0 CHC CALVARY FUND INC 1740 EASTCHESTER ROAD Bronx NY 10461 133259649 FUNDRAISING NY 501(C)(3) 12A CHC false CALVARY HOLDING COMPANY 1740 EASTCHESTER ROAD Bronx NY 10461 061531426 MANAGEMENT NY 501(C)(3) 12A archcare false ARCHCARE 155 EAST 56TH STREET FLOOR 2 NEW YORK NY 10022 133896624 HomeCARE NY 501(C)(3) 1 NA false false true true true true false false false false false false true true true true true true false false 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