2013-09-24T16:34:35-05:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 131740107 FIELD HOME HOLY COMFORTER FIEL 9147392244 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 SANDRA RIVERA 9147392244 2013-09-24 1 GARRETT M HIGGINS P00543209 9143818900 2013-09-24 2012 2016-02-24 21:20:13Z JOHN R AHEARN 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 31712349 0 X FIELDHOME.COM X 1985 NY TO PROVIDE A BROAD RANGE OF HIGH QUALITY CARE SERVICES TO THE ELDERLY AND MEDICALLY COMPROMISED IN A COMFORTABLE AND SAFE ENVIRONMENT.THE BOARD OF DIRECTORS AND STAFF ARE COMMITTED TO PERPETUATING, IMPROVING, AND ADAPTING OUR SERVICES IN RESPONSE TO THE CHANGING NEEDS OF OUR COMMUNITY IN A COMPASSIONATE AND FINANCIALLY RESPONSIBLE MANNER.ALL STAFF ARE ENCOURAGED TO PURSUE EXCELLENCE IN THE DELIVERY OF CARE TO THOSE WE SERVE. 10 9 336 60 0 0 6443 6118791 23453341 22246324 520729 489403 526182 528946 24506695 29383464 0 0 0 0 15390549 16123689 0 0 0 7540126 8481106 22930675 24604795 1576020 4778669 22480630 24324447 11399846 7889206 11080784 16435241 X FIELD HOME PROVIDES STATE OF THE ART REHABILITATIVE AND NURSING CARE TO THE COMMUNITY. IN ADDITION TO OUR SKILLED HEALTH CARE PRACTITIONERS, DEDICATED PROFESSIONALS IN THE AREAS OF SOCIAL SERVICES AND REHABILITATIVE RECREATION SEE TO THE BROADER EMOTIONAL AND SOCIAL NEEDS OF OUR PATIENTS. FIELD HOME WELCOMES A DIVERSE CROSS SECTION OF OUR COMMUNITY AS BOTH PATIENTS AND STAFF. WE ARE PROUD OF OUR RECORD OF MEETING THE NEEDS OF THE COMMUNITY WITHOUT REGARD TO ETHNICITY, RELIGION, SOCIAL OR FINANCIAL STATUS. FIELD HOME ENCOURAGES EACH STAFF MEMBER TO REACH FOR THE HIGHEST LEVEL OF PROFESSIONAL AND PERSONAL SATISFACTION AND PROVIDES MANY OPPORTUNITIES TO ENABLE THAT PURSUIT. A 130 YEAR TRADITION OF COMPASSIONATE CARE AND SERVICE TO OUR CLIENTS AND STAFF GUIDE US FORWARD. OUR VOLUNTARY BOARD OF DIRECTORS IS COMPRISED OF LOCAL PROFESSIONAL AND CIVIC MINDED INDIVIDUALS, WHO, WITHOUT COMPENSATION, DONATE THEIR TIME TO FULFILLING THE HOME'S MISSION. 0 0 20452183 22246324 THE ORGANIZATION RENDERED 68,237 PATIENT DAYS OF SKILLED MEDICAL & NURSING AND REHABILITATIVE CARE TO AGED MEN & WOMEN. FIELDHOME-HOLY COMFORTER IS A HEALTH CARE AND COMMUNITY SERVICES ORGANIZATION, ESTABLISHED IN 1879. OUR BEAUTIFUL 100+ ACRE CAMPUS IS LOCATED ON THE BORDER OF CORTLANDT MANOR AND YORKTOWN, IN UPPER-WESTCHESTER COUNTY, NY. IN 2012 WE SERVED APPROXIMATELY 700 PATIENTS PRIMARILY FROM WESTCHESTER, PUTNAM, DUTCHESS AND ROCKLAND COUNTIES. WE WORK WITH OUR LOCAL HOSPITALS AS WELL AS MANY HOSPITALS IN NEW YORK CITY. WE ARE AN EQUAL OPPORTUNITY EMPLOYER WITH OVER 320 RNS, LPNS, CNAS, DIETARY AIDES, HOUSEKEEPERS, MAINTENANCE ENGINEERS AND CLERICAL WORKERS. FIELDHOME- HOLY COMFORTER PROVIDES THE MOST COMPREHENSIVE POST-SURGICAL REHABILITATION PROGRAM OUTSIDE THE SUB-ACUTE HOSPITAL SETTING. OUR 1,500 SQ FT REHABILITATION TREATMENT CENTER, SPECIALIZES IN FOUR AREAS: POST-SURGICAL, ORTHOPEDIC, NEUROLOGICAL AND CARDIO-PULMONARY REHABILITATION. WE OFFER A 7 DAY A WEEK REHABILITATION PROGRAM WITH OUR A+ RATED AND CREDENTIALED THERAPY STAFF. THE REHABILITATION TREATMENT CENTER OFFERS A WIDE RANGE OF TREATMENT MODALITIES, INCLUDING ULTRASOUND, ELECTRIC STIMULATION, PAIN MANAGEMENT THERAPY AND HEAT & ICE THERAPY, WITH A HIGH TECH THERAPEUTIC COOLING SYSTEM ORIGINALLY DESIGNED FOR USE BY PROFESSIONAL AND COLLEGE ATHLETES. PATIENTS RECEIVE A FULL COMPLEMENT OF COMPREHENSIVE SERVICES, INCLUDING PHYSICAL AND SPEECH THERAPIES AS WELL AS OCCUPATIONAL THERAPY IN A SEPARATE OCCUPATIONAL THERAPY SUITE. THE O.T. SUITE IS COMPLETE WITH AN ACTUAL BEDROOM, BATHROOM AND KITCHEN SO PATIENTS GAIN THE CONFIDENCE NEEDED TO SAFELY RETURN HOME. IN 2012 WE RENDERED 62,097 THERAPY TREATMENT TO OUR PATIENTS. A 50-BED REHABILITATION UNIT IS INTEGRATED WITH THE CENTER AND OFFERS MANY PRIVATE ROOMS. ADMISSIONS ARE ACCEPTED 7 DAYS A WEEK AND MOST INSURANCES ARE ACCEPTED. OUR TRADITIONAL LONG-TERM SKILLED NURSING UNIT, IS MISSION DRIVEN AND COMMITTED TO THE IDEALS OF PERSON CENTERED CARE AND TO THE VALUE OF INDIVIDUALIZED ATTENTION AND CONSISTENT STAFF ASSIGNMENTS. OUR LONG ESTABLISHED REPUTATION OF NURSING EXCELLENCE IS ONE THAT IS BUILT ON OUR 130 YEARS OF EXPERIENCE. OUR RESIDENTS ALSO BENEFIT FROM INTER-GENERATIONAL PROGRAMS WITH THE CHILDREN OF THE EARLY LEARNING CENTER AT FIELDHOME.WE HAVE A HIGH NURSE TO RESIDENT RATIO AND TAKE GREAT PRIDE IN OUR STAFF, WHO ARE PROFESSIONALLY TRAINED TO MANAGE SPECIAL NEEDS SUCH AS WOUND CARE, INFUSION THERAPY, PAIN MANAGEMENT AND PALLIATIVE/COMFORT CARE. OUR SKILLED NURSING PROGRAM PROVIDES A COMPREHENSIVE LIST OF SUPPORT SERVICES, INCLUDING: FULL REHABILITATIVE THERAPY, NUTRITIONAL ASSESSMENT AND SUPPORT, LABORATORY AND DIAGNOSTIC SERVICES, DENTAL CARE, THERAPEUTIC CARE, SOCIAL WORK SERVICES, PSYCHOLOGICAL SERVICES, VISION CARE AND RELIGIOUS SERVICES. RESPITE AND HOSPICE/COMFORT CARE ARE ALSO AVAILABLE.IN 2012 FIELD HOME HOLY COMFORTER WAS THE RECIPIENT OF A HEAL GRANT AWARD IN THE AMOUNT OF $8,000,000. THIS AWARD WAS FROM NEW YORK STATE HEAL NY PHASE 21, RESTRUCTURING INITIATIVES IN MEDICAID REDESIGN. THE GRANT HAD SEVERAL INITIATIVES WHICH INCLUDED THE DOWNSIZING OF THE LONG TERM CARE BEDS FROM 150 TO 75. WE WERE ALSO REQUIRED TO EXTINGUISH OUR LONG TERM DEBT, WHICH WAS DONE IN 2012, INSTALL A NEW EMR/FISCAL SYSTEM, AND CREATE A SOCIAL ADULT DAY CARE. THESE INITIATIVES WILL ALLOW US TO REALIGN OUR CAMPUS AND IMPLEMENT A MUCH NEEDED COMMUNITY BASED PROGRAM. 20452183 1 1 0 1 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 1 1 0 0 1 78 0 336 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X SANDRA RIVERA CFO 9147392244 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 FREDERICK N ROSSETTER 3.00 3.00 X X 0 0 0 IAN D SMITH 3.00 3.00 X X 0 0 0 KEVIN C SUNKEL 3.00 3.00 X 0 0 0 GLORIA MONTENERO 3.00 3.00 X 0 0 0 MARSHA HENDERSON 3.00 X X 0 0 0 REV ROBERT HAMLYN 3.00 X 0 0 0 LOUIS A MATERASSO 3.00 3.00 X 0 0 0 JEFFREY SWEET 3.00 X 0 0 0 JOHN R AHEARN 35.00 15.00 X X 302508 0 48349 FREDERICK B MILLER 3.00 X 0 0 0 SANDRA RIVERA 35.00 15.00 X 159142 0 14671 JUDITH MADDEN 35.00 X 202330 0 27945 ANTHONY R W DEMAN 35.00 X 125862 0 33559 EDWARD GRANO 37.50 X 121605 0 32269 CARLA PERRUCCIO 37.50 X 133837 0 20669 COLEEN MELVILLE 37.50 X 120737 0 344 NEELAM NARULA 37.50 X 116979 0 25166 1283000 0 202972 8 0 1 0 AG ARCHITECTURE 1414 UNDERWOOD AVE SUITE 301 WAUWATOSA WI 53213 ARCHITECT 776247 ARAMARK SERVICES 131 SOUTH DEARBORN 6TH FLOOR CHICAGO IL 60603 FOOD SERVICES 741676 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 479963 CAPITAL PROJECTS CONSULTING 153 BROADWAY HAWTHORNE NY 10532 INDEPENDENT LIVING PROJECT 193023 GREYSTONE 222 WEST LAS COLINAS BLVD SUITE 21 IRVING TX 75039 DEVELOPER 175609 8 45000 6000000 73791 6118791 MEDICAID 623000 11534555 11534555 MEDICARE 623000 8309227 8309227 PRIVATE PAY 623000 2343064 2343064 OTHER PATIENT REVENUE 623000 59478 59478 22246324 346258 346258 2472030 2328885 143145 143145 143145 AFFILIATE SERVICES 900099 480000 480000 REFUNDS 900099 40992 40992 MISCELLANEOUS INCOME 900099 3425 3425 4529 4529 528946 29383464 22246324 0 1018349 754945 754945 10754767 9849286 905481 778619 721795 56824 2416665 2112774 303891 1418693 1223699 194994 63916 63916 56777 56777 1930 1930 97790 97790 1169218 1090994 78224 105415 105415 1102011 916020 185991 3972 3972 1064057 824902 239155 32779 16380 16399 11411 7361 4050 8844 8844 755625 743569 12056 16982 16982 PURCHASED & CONTRACTED 1286146 1143946 142200 NYS CASH ASSESSMENTS 901911 901911 BOND LOSS 863750 863750 MEDICATIONS 466083 466083 472489 403665 68824 24604795 20452183 4152612 0 311691 181090 732527 169065 3675470 4024177 50812 50812 3065 29091 23991451 12951900 9107740 11039551 7083419 8014821 1515906 815840 22480630 24324447 3667995 4188450 6460000 0 264870 217650 533417 3206375 473564 276731 11399846 7889206 X 9340856 14695313 1739928 1739928 11080784 16435241 22480630 24324447 4778669 575788 0 X X 0 1 X 1 0 X 1843 127628 46934 6443 6118791 6301639 20924107 21680143 21402565 23453341 22246324 109706480 20925950 21807771 21449499 23459784 28365115 116008119 0 0 0 116008119 315966 211651 214148 237826 346258 1325849 315966 211651 214148 237826 346258 1325849 509806 552549 508690 526182 528946 2626173 21751722 22571971 22172337 24223792 29240319 119960141 0.96710 0.96840 0.01110 0.00960 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: PURCHASES DISCOUNTS - 2008 AMOUNT: $ 5,232. 2009 AMOUNT: $ 16,419. 2010 AMOUNT: $ 2,343. 2011 AMOUNT: $ 4,338. 2012 AMOUNT: $ 2,292. VENDING MACHINE - 2008 AMOUNT: $ 2,639. 2009 AMOUNT: $ 2,956. 2010 AMOUNT: $ 503. 2011 AMOUNT: $ 642. 2012 AMOUNT: $ 705. MISCELLANEOUS INCOME - 2008 AMOUNT: $ 20,298. 2011 AMOUNT: $ 10,633. 2012 AMOUNT: $ 3,425. AFFILIATE SERVICES - 2008 AMOUNT: $ 355,206. 2009 AMOUNT: $ 342,420. 2010 AMOUNT: $ 342,420. 2011 AMOUNT: $ 480,000. 2012 AMOUNT: $ 480,000. CABLE SERVICES - 2008 AMOUNT: $ 4,275. 2009 AMOUNT: $ 1,822. REBATES AND REFUNDS - 2008 AMOUNT: $ 120,481. 2009 AMOUNT: $ 135,786. 2010 AMOUNT: $ 163,424. 2011 AMOUNT: $ 30,569. 2012 AMOUNT: $ 40,992. MISCELLANEOUS NON-OPERATING REVENUE - 2008 AMOUNT: $ 1,675. 2009 AMOUNT: $ 53,146. MEDICAL RECORD - 2012 AMOUNT: $ 1,532. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1930 1930 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 0 1 X 1272150 182901 1455051 1419328 -147178 1272150 1273136 146192 1419328 961024 312112 1273136 1634331 -673307 961024 1.00000 0 0 453283 453283 14736041 9088931 5647110 111212 107228 3984 4440687 3578719 861968 4250228 177022 4073206 11039551 DUE TO THIRD PARTY PAYORS 269729 OTHER CURRENT LIABILITIES 7002 276731 X 29861462 575788 575788 29285674 97790 97790 29383464 24507005 0 24507005 97790 97790 24604795 PART IV, LINE 2B: PATIENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF ITS PATIENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY PATIENTS AS WELL AS OTHER PATIENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, PATIENTS FOR THEIR PERSONAL USE. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT CORPUS IS TO BE HELD IN PERPETUITY. THE EARNINGS ARE TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE ORGANIZATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2009. X X X 0 0 0 0 0 0 0 0 0 JOHN R AHEARN 299994 0 0 0 2514 0 25474 0 22875 0 350857 0 0 0 SANDRA RIVERA 158459 0 0 0 683 0 14123 0 548 0 173813 0 0 0 JUDITH MADDEN 199853 0 0 0 2477 0 18594 0 9351 0 230275 0 0 0 ANTHONY R W DEMAN 125718 0 0 0 144 0 9996 0 23563 0 159421 0 0 0 EDWARD GRANO 121516 0 0 0 89 0 9272 0 22997 0 153874 0 0 0 CARLA PERRUCCIO 133734 0 0 0 103 0 10735 0 9934 0 154506 0 0 0 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 CFO TO REVIEW THE RETURN IN DETAIL BEFORE IT IS APPROVED. AFTER IT IS APPROVED, THE FINAL VERSION IS 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 KEY 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 KEY 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 B, LINE 15 THE COMPENSATION COMMITTEE MEETS PERIODICALLY TO CONSIDER OFFICERS 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 OF FINDINGS OR OCCURRENCES OF NON-COMPLIANCE. THE COMMITTEE PRESENTS ITS RECOMMENDATION TO THE BOARD OF DIRECTORS FOR ACTION, AND APPROVAL. 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 AND OTHER SIMILAR WEBSITES. 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. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES, WHICH IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 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. 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 1 HUNTERBROOK RIDGE AT FIELDHOME INC PO BOX 222 YORKTOWN HEIGHTS NY 105980222 161612619 INDEPENDENT COMMUNITY LIVING CENTER NY 501(C)(3) PF FIELD HOME HOLY COMFORTER 1 CATHERINE FIELD HOME 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 133937652 ASSISTED LIVING AND ALZHEIMER'S CARE CENTER NY 501(C)(3) 9 FIELD HOME HOLY COMFORTER 1 1 0 1 1 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 CATHERINE FIELD HOME L 480000 COST CATHERINE FIELD HOME D 362113 FAIR MARKET VALUE CATHERINE FIELD HOME A 22908 FAIR MARKET VALUE CATHERINE FIELD HOME K 120000 FAIR MARKET VALUE