2015-09-28T10:26:09-05:00 2014-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2014-01-01 133937652 CATHARINE FIELD HOME CATH 9147392244 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 JOHN R AHEARN TRUSTEE/CEO 9147392244 2015-09-24 1 GARRETT M HIGGINS P00543209 9143818900 2015-09-24 2014 2016-04-25 22:37:26Z JOHN R AHEARN 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 14577210 0 X FIELDHOME.COM X 1995 NY SEE SCHEDULE O 7 6 96 10 0 0 12437 50822 5274129 5658615 1258315 1182552 18220 33316 6563101 6925305 0 0 0 0 2481861 2572024 0 0 0 3378879 3350886 5860740 5922910 702361 1002395 19749558 19688138 14907084 14262969 4842474 5425169 X CATHARINE FIELD HOME ("CFH") WILL PROVIDE A COMFORTABLE RESIDENCE FOR ELDERLY PERSONS WHO CHOOSE OR REQUIRE AN ASSISTED LIVING ENVIRONMENT WITH A CONGENIAL, DYNAMIC COMMUNITY. SIMILARLY, CFH WILL PROVIDE CARE AND SERVICES FOR PERSONS WITH DEMENTIA WHO ARE IN RELATIVELY GOOD PHYSICAL HEALTH BUT NEED A SPECIALLY DESIGNED AND SUPPORTIVE RESIDENCE. 0 0 4545747 5658615 THE ORGANIZATION IS A LUXURIOUS 80-APARTMENT RESIDENCE OFFERING EXCEPTIONAL LICENSED ASSISTED LIVING ACCOMMODATIONS FOR THOSE SEEKING AN INDEPENDENT AND CARE-FREE LIFESTYLE. THE ASSISTED LIVING RESIDENCE OFFERS THE VERY BEST IN CARE AND AMENITIES THAT YOU WOULD EXPECT TO FIND AT A FIRST CLASS FACILITY INCLUDING GOURMET DINING, A FITNESS PROGRAM, FREE TRANSPORTATION, SOCIAL ACTIVITIES AND WEEKLY LIVE ENTERTAINMENT AS WELL AS HOUSEKEEPING AND LAUNDRY. THE ORGANIZATION'S MEMORY SUPPORT RESIDENCE IS A COMPLETELY SEPARATE COMMUNITY THAT PROVIDES A SAFE AND ENRICHING ENVIRONMENT FOR THOSE WITH EARLY TO MID-STAGE ALZHEIMER'S DISEASE OR DEMENTIA. THESE STATE-OF-THE-ART DESIGNED ACCOMMODATIONS ALLOW RESIDENTS TO MAINTAIN THEIR INDEPENDENCE AND FREEDOM WITHIN A SAFE AND SECURE ENVIRONMENT. A COMPLETELY ENCLOSED WANDERING GARDEN PROVIDES A SAFE AND BEAUTIFUL OUTDOOR PARK SETTING FOR RESIDENTS TO ENJOY. RESPITE IS ALSO AVAILABLE.LICENSED NURSING SERVICES IS AVAILABLE, AND INCLUDED, 24 HOURS A DAY, 7 DAYS A WEEK INCLUDING 5 HOURS OF PERSONAL CARE PER WEEK. 4545747 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 96 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X ROSANNA NARDONE 9147392244 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 IAN D SMITH PRESIDENT 3.00 6.00 X X 0 0 0 LOUIS A MATERASSO TRUSTEE 3.00 6.00 X 0 0 0 FIELD HORNE VICE PRESIDENT & TREASURER 3.00 X X 0 0 0 GLORIA MONTENERO SECRETARY 3.00 9.00 X X 0 0 0 GERALDINE L KEARSE TRUSTEE 3.00 3.00 X 0 0 0 JOHN R AHEARN TRUSTEE/CEO 11.00 41.00 X X 0 304001 52201 ALISON MAZZONI TRUSTEE 3.00 X 0 0 0 SANDRA RIVERA CFO THRU DECEMBER 2014 11.00 41.00 X 0 166465 14594 DIANA PENNA ADMINISTRATOR 35.00 X 126441 0 33494 126441 470466 100289 1 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICES 835576 FIELD HOME HOLY COMFORTER 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 MANAGEMENT SERVICES 450000 GRIFFIN LANDSCAPING 1234 LINCOLN TERRACE PEEKSKILL NY 10566 GROUND LANDSCAPING 118557 3 40375 10447 50822 PRIVATE PAY 623000 5301050 5301050 MEDICAID 623000 327565 327565 BEDHOLD INCOME 623000 30000 30000 5658615 552648 552648 612 612 8281809 7651905 629904 629904 629904 MISCELLANEOUS 900099 20138 20138 REFUNDS & REIMBURSMENTS 900099 7566 7566 RESIDENT HISTORY FEES 900009 5000 5000 32704 6925305 5658615 0 1215868 X 1841456 1588188 253268 136138 117414 18724 353411 304804 48607 241019 207870 33149 450000 450000 20923 20923 26000 26000 19868 19868 909858 865503 44355 19148 19148 129592 92529 37063 3380 3380 361246 337095 24151 2513 2513 9336 9336 21809 21809 712684 712684 60549 5616 54933 LETTER OF CREDIT FEES 264516 264516 DIETARY COSTS 227827 227827 DIRECT OPERATING EXPENS 96644 43648 52996 CONTRACTED SERVICES 6949 6949 8044 8044 5922910 4545747 1377163 0 348908 476882 1097403 1444075 200793 122609 111622 105152 18050673 8995717 9719280 9054956 7958035 8098299 265717 257030 47800 129135 19749558 19688138 590668 788879 316177 130482 13115000 12590000 370274 434116 514965 319492 14907084 14262969 X 1576757 2168139 3000000 3000000 265717 257030 4842474 5425169 19749558 19688138 X 1002395 -411013 -8687 X X 0 1 X 1 0 X 17372 13987 12437 50822 94618 5215069 5338706 5763794 5274129 5658615 27250313 5215069 5356078 5777781 5286566 5709437 27344931 0 1201952 1002783 603496 1118943 1283819 5210993 1201952 1002783 603496 1118943 1283819 5210993 22133938 445884 402678 289007 288058 553260 1978887 445884 402678 289007 288058 553260 1978887 24649 66332 35960 17049 32704 176694 5685602 5825088 6102748 5591673 6295401 29500512 0.75030 0.74350 0.06710 0.06800 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 20,125. 2011 AMOUNT: $ 6,895. 2012 AMOUNT: $ 2,375. 2013 AMOUNT: $ 1,575. 2014 AMOUNT: $ 20,138. VENDING MACHINES - 2010 AMOUNT: $ 4,524. 2011 AMOUNT: $ 6,285. 2012 AMOUNT: $ 2,438. RESIDENT HISTORY FEES - 2011 AMOUNT: $ 9,000. 2012 AMOUNT: $ 6,500. 2013 AMOUNT: $ 7,000. 2014 AMOUNT: $ 5,000. PENSION PLAN FORFEITURES - 2011 AMOUNT: $ 4,373. REFUNDS - 2011 AMOUNT: $ 39,779. 2012 AMOUNT: $ 18,814. 2013 AMOUNT: $ 8,474. 2014 AMOUNT: $ 7,566. MEAL TICKET REVENUE - 2012 AMOUNT: $ 5,833. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3000000 713198 713198 3000000 3000000 1171893 1171893 3000000 3000000 632230 632230 3000000 3000000 296946 296946 3000000 3000000 504693 504693 3000000 1.00000 1 0 14381345 6477225 7904120 827056 631984 195072 2842272 1886508 955764 9054956 DUE TO AFFILIATES 738 NOTES PAYABLE TO AFFILIATES 274905 INSURANCE CLAIMS PAYABLE 43849 319492 X 6494424 -411013 -411013 6905437 19868 19868 6925305 5903042 0 5903042 19868 19868 5922910 PART IV, LINE 2B: RESIDENT'S FUNDS ARE HELD BY THE DOMICILIARY ON BEHALF OF ITS RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS, AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE DOMICILIARY FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART V, LINE 4: THE ENDOWMENT FUND CONSISTS OF THE SEABURY CHARITABLE TRUST WHICH TIME RESTRICTS THE CORPUS OF $3,000,000 FOR 20 YEARS UNTIL 2017. IN ACCORDANCE WITH THE TRUST AGREEMENT, THE INCOME IS TO BE USED TO SUBSIDIZE THE COST OF CARING FOR THE RESIDENTS. PART X, LINE 2: THE DOMICILIARY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE DOMICILIARY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE DOMICILIARY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2011. 0 0 0 0 0 0 0 0 0 JOHN R AHEARN TRUSTEE/CEO 0 301523 0 0 0 2478 0 31067 0 21134 0 356202 0 0 SANDRA RIVERA CFO THRU DECEMBER 2014 0 165924 0 0 0 541 0 14042 0 552 0 181059 0 0 DIANA PENNA ADMINISTRATOR 125220 0 0 0 1221 0 12360 0 21134 0 159935 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF FIELD HOME HOLY COMFORTER MEETS PERIODICALLY TO CONSIDER OFFICER AND KEY EMPLOYEE COMPENSATION ARRANGEMENTS. THE COMMITTEE SOLICITS INDUSTRY RELEVANT COMPARISONS FROM PUBLISHED SOURCES AND CONSULTS WITH CORPORATE COUNSEL FOR INSIGHT INTO NUANCED LOCAL DATA FOR COMPARISONS. CURRENT ECONOMIC AND BUSINESS PERFORMANCE FACTORS ARE CONSIDERED ALONG WITH ANY FUTURE GOALS AND OBJECTIVES OF THE ORGANIZATION. ANALYSIS OF PERFORMANCE IN ACHIEVING STATED BUDGETARY, OPERATIONAL AND STATISTICAL GOALS IS REVIEWED, AS WELL AS SUCCESS IN COMPLIANCE WITH EXTERNAL REQUIREMENTS AND/OR MANAGEMENT FINDINGS OR OCCURRENCES OF NON-COMPLIANCE. THE COMMITTEE PRESENTS ITS RECOMMENDATION TO THE BOARD OF DIRECTORS FOR ACTION. THE APPROVAL OF THE COMPENSATION IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART I, LINE 1: CATHARINE FIELD HOME (CFH) IS CONTINUING AN APPROXIMATE 130 YEAR OLD TRADITION OF PROVIDING THE HIGHEST LEVEL OF CARING SERVICES TO THE ELDERLY WITH A MODERN FACILITY WHICH INCORPORATES SOPHISTICATED DESIGN ELEMENTS TO PROVIDE AN ENVIRONMENTAL COMPLIMENT TO ITS PROFESSIONAL PROGRAMS. CFH IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION AND PARTICIPATES IN EVENTS WHICH PROMOTE AND FOSTER SUPPORT FOR THOSE SUFFERING WITH DEMENTIA AND FOR THEIR CAREGIVERS. THROUGH LOCAL WORKSHOPS AND SUPPORT GROUP MEETINGS, STAFF MEMBERS BRING THEIR KNOWLEDGE, TRAINING AND COMPASSION TO THE BROADER COMMUNITY. CFH WELCOMES A DIVERSE CROSS SECTION OF OUR COMMUNITY AS BOTH RESIDENTS AND STAFF. WE ARE PROUD OF OUR RECORD OF MEETING THE NEEDS OF THE COMMUNITY WITHOUT REGARD TO ETHNICITY, RELIGION, SOCIAL OR FINANCIAL STATUS. CFH IS LICENSED AS AN ASSISTED LIVING PROGRAM BY THE NYS DEPARTMENT OF HEALTH. FORM 990, PART VI, SECTION A, LINE 3 CATHARINE FIELD HOME HAS A MANAGEMENT AGREEMENT WITH AN AFFILIATE, FIELD HOME HOLY COMFORTER FOR WHICH THEY PAID $450,000. FIELD HOME HOLY COMFORTER PROVIDES ADMINISTRATIVE, ACCOUNTING AND SUPPORT SERVICES TO CATHARINE FIELD HOME. THE COMPENSATION PAID TO THE CEO AND CFO BY FIELD HOME IS REPORTED IN PART VII AND SCHEDULE J. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE TO REVIEW THE INTERNAL REVENUE SERVICE FORM 990. THE COMMITTEE WILL MEET WITH THE CEO, AND DIRECTOR OF FINANCE TO REVIEW THE RETURN IN DETAIL BEFORE IT IS APPROVED. AFTER IT IS APPROVED, THE FINAL VERSION WILL BE EMAILED TO THE FULL BOARD AND THEN FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES AN ANNUAL STATEMENT TO BE EXECUTED BY BOARD MEMBERS AND EMPLOYEES. THE STATEMENTS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, WHO HAS THE AUTHORITY TO CONSULT WITH INDEPENDENT COUNSEL CONCERNING ANY POTENTIAL CONFLICT. CONFLICTS ARE RESOLVED BY MAKING A REQUIRED DISCLOSURE, AND MAY RESULT IN RESTRICTING THE BOARD MEMBER OR EMPLOYEE IN ANY RELATED ACTIVITY OR PROCESS AS DETERMINED APPROPRIATE TO THE CIRCUMSTANCES OF THE CONFLICT. FAILURE TO DISCLOSE A CONFLICT OF INTEREST IS IN VIOLATION OF THE ADOPTED POLICY AND CAN RESULT IN DISCIPLINARY ACTION OR REMOVAL. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 44,355. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,355. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 554,394. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 554,394. ACTIVITY FEES: PROGRAM SERVICE EXPENSES 29,968. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,968. ENGINEERING: PROGRAM SERVICE EXPENSES 79,581. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,581. LANDSCAPING: PROGRAM SERVICE EXPENSES 201,560. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,560. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -8,687. PART 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE TO OVERSEE THE SELECTION OF THE INDEPENDENT AUDITORS AND FOR OVERSIGHT OF THE AUDIT. THE COMMITTEE MEETS WITH MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE RESULTS OF THE AUDIT, DRAFT AUDIT REPORT, AND REQUIRED COMMUNICATIONS. THE COMMITTEE MEETS IN EXECUTIVE SESSION WITH THE INDEPENDENT AUDITOR BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HUNTERBROOK RIDGE AT FIELDHOME INC PO BOX 222 YORKTOWN HEIGHTS NY 105980222 161612619 INDEPENDENT LIVING COMMUNITY PROJECT NY 501(C)(3) PF FIELD HOME HOLY COMFORTER 0 FIELD HOME HOLY COMFORTER 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 131740107 SKILLED NURSING FACILITY NY 501(C)(3) LINE 9 N/A 0 FIELD HALL FOUNDATION 2302 CATHERINE STREET CORTLANDT MANOR NY 10567 133410437 TO SUPPORT FIELD HOME HOLY COMFORTER AND ITS AFFILIATES NY 501(C)(3) PF FIELD HOME HOLY COMFORTER 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0