Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $3,030,000

• 1f · All other contributions, gifts and grants

  $3,040,000

• 2a · Program service revenue: PATIENT SERVICE REVENUE

  total $120,773,400 · related or exempt $120,773,400

• 3 · Investment income

  total $394,000 · excluded $394,000

• 11a · Other revenue: INSURANCE PROCEEDS (FLOOD)

  total $5,039,600 · excluded $5,039,600

• 11b · Other revenue: RELATED PARTY REIMBURSEMENTS

  total $146,000 · related or exempt $146,000

• 11c · Other revenue: CAFETERIA

  total $93,000 · excluded $93,000

• 11d · All other revenue

  total $705,500 · excluded $705,500

• 11e · Other revenue, total

  $5,984,100

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $2,913,331 · program services $1,090,376 · management and general $1,822,955

• 6 · Compensation of disqualified persons

  total $868,624 · program services $49,292 · management and general $819,332

• 7 · Other salaries and wages

  total $68,350,034 · program services $63,820,353 · management and general $4,529,681

• 8 · Pension plan contributions

  total $4,933,772 · program services $4,507,530 · management and general $426,242

• 9 · Other employee benefits

  total $17,948,618 · program services $16,397,987 · management and general $1,550,631

• 10 · Payroll taxes

  total $5,160,921 · program services $4,715,055 · management and general $445,866

• 11a · Fees: management

  total $3,436,417 · management and general $3,436,417

• 11b · Fees: legal

  total $610,882 · management and general $610,882

• 11c · Fees: accounting

  total $534,956 · management and general $534,956

• 11d · Fees: lobbying

  total $155,315 · management and general $155,315

• 11g · Fees: other

  total $11,905,844 · program services $11,905,844

• 12 · Advertising and promotion

  total $1,590,345 · program services $1,037,806 · management and general $552,539

• 13 · Office expenses

  total $2,586,792 · program services $1,688,054 · management and general $898,738

• 14 · Information technology

  total $562,945 · program services $367,359 · management and general $195,586

• 16 · Occupancy

  total $2,445,556 · program services $1,668,222 · management and general $777,334

• 17 · Travel

  total $340,635 · program services $222,287 · management and general $118,348

• 19 · Conferences, conventions and meetings

  total $80,971 · program services $52,839 · management and general $28,132

• 20 · Interest

  total $365,500 · program services $365,500

• 22 · Depreciation, depletion and amortization

  total $2,910,101 · program services $2,716,478 · management and general $193,623

• 23 · Insurance

  total $1,719,326 · management and general $1,719,326

• 24a · Other expenses: PHARMACEUTICALS

  total $5,919,593 · program services $5,919,593

• 24b · Other expenses: MAINTENANCE AND REPAIRS

  total $1,428,058 · program services $931,903 · management and general $496,155

• 24c · Other expenses: FOOD EXPENSE

  total $933,955 · program services $609,468 · management and general $324,487

• 24d · Other expenses: LEASES

  total $585,045 · program services $546,119 · management and general $38,926

• 24e · All other expenses

  total $2,566,964 · program services $2,004,435 · management and general $562,529

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $21,700 · end of year $21,500

• 2 · Savings and temporary cash investments

  beginning of year $11,371,800 · end of year $2,026,000

• 4 · Accounts receivable

  beginning of year $21,551,200 · end of year $30,568,600

• 8 · Inventories for sale or use

  beginning of year $310,600 · end of year $353,200

• 9 · Prepaid expenses and deferred charges

  beginning of year $222,900 · end of year $763,100

• 10a · Land, buildings and equipment: cost or other basis

  $118,171,600

• 10b · Land, buildings and equipment: accumulated depreciation

  $101,163,100

• 10c · Land, buildings and equipment, net

  beginning of year $14,807,600 · end of year $17,008,500

• 11 · Investments: publicly traded securities

  beginning of year $18,979,000 · end of year $15,985,500

• 12 · Investments: other securities

  beginning of year $8,218,300

• 13 · Investments: program-related

  beginning of year $30,985,800 · end of year $32,323,400

• 15 · Other assets

  beginning of year $2,215,300 · end of year $6,411,400

• 17 · Accounts payable and accrued expenses

  beginning of year $15,085,800 · end of year $17,570,100

• 19 · Deferred revenue

  beginning of year $2,167,000 · end of year $0

• 21 · Escrow or custodial account liability

  beginning of year $126,200 · end of year $126,200

• 23 · Secured mortgages and notes payable

  beginning of year $388,900 · end of year $4,500,000

• 25 · Other liabilities

  beginning of year $54,082,500 · end of year $67,614,500

• 27 · Net assets without donor restrictions

  beginning of year -$8,289,200 · end of year -$21,882,400

• 28 · Net assets with donor restrictions

  beginning of year $45,123,000 · end of year $37,532,800

The filer's explanations (Part III)

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 2022 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-B

MEDICAL DIRECTOR, ROBERT SIEGEL, M.D., RECEIVED A SEVERANCE AND SETTLEMENT PAYMENT IN CALENDAR YEAR 2022 IN THE AMOUNT OF $815,769. THESE PAYMENTS ARE 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 - $88,686 ANDREW GRECO - $45,847 GROSS *INCLUDES TAX GROSS-UP $19,118 PRESIDENT & CEO OF ARCHCARE, SCOTT P. LA RUE, PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION OF $160,192 FROM THE PLAN IN CALENDAR YEAR 2022. 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 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, 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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• CALVARY PALLIATIVE CARE NETWORK LLC

  HEALTHCARE · NY · income $0 · assets $0

  Directly controlled by CALVARY HOLDING COMPANY

• CALVARY NETWORK INDEP PRACTICE ASSN

  HEALTHCARE · NY · income $0 · assets $0

  Directly controlled by CPCN

• CALVARY NETWORK MANAGEMENT SERVICES LLC

  HEALTHCARE · NY · income $0 · assets $0

  Directly controlled by CALVARY HOLDING COMPANY