2013-09-24T16:34:14-05:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 133937652 CATHARINE FIELD HOME CATH 9147392244 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 SANDRA RIVERA 9147392244 2013-09-17 1 GARRETT M HIGGINS P00543209 9143818900 2013-09-17 2012 2016-02-24 21:20:13Z JOHN R AHEARN 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 9706101 0 X FIELDHOME.COM X 1887 NY SEE SCHEDULE O 7 6 95 13 0 0 17372 13987 5338706 5763794 480450 647219 187241 37168 6023769 6462168 0 0 0 0 2435248 2511191 0 0 0 3359544 3691435 5794792 6202626 228977 259542 19278478 19787442 16010803 15879135 3267675 3908307 X 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 4548530 5763794 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. 4548530 1 0 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 29 0 95 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 1 0 0 NY X X SANDRA RIVERA CFO 9147392244 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 IAN D SMITH 3.00 3.00 X X 0 0 0 LOUIS A MATERASSO 3.00 3.00 X X 0 0 0 BURTON GREENBERG 3.00 X 0 0 0 FIELD HORNE 3.00 X 0 0 0 GLORIA MONTENERO 3.00 3.00 X X 0 0 0 GERALDINE L KEARSE 3.00 X X 0 0 0 JOHN R AHEARN 11.00 39.00 X X 0 302508 48349 MELINDA HUNT 3.00 X 0 0 0 SANDRA RIVERA 11.00 39.00 X 0 159142 14671 DIANA PENNA 35.00 X 126200 0 32195 126200 461650 95215 1 0 1 0 ARAMARK 131 SOUTH DEARBORN 6TH FLOOR CHICAGO IL 60603 FOOD SERVICES 563773 FIELD HOME HOLY COMFORTER 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 MANAGEMENT SERVICES 480000 MORRISON MANAGEMENT SPECIALIST PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 286457 GRIFFIN LANDSCAPING 1234 LINCOLN TERRACE PEEKSKILL NY 10566 GROUNDS CONTRACT 146063 4 2200 11787 13987 PRIVATE PAY 623000 5354556 5354556 MEDICAID 623000 289238 289238 RENTAL INCOME FROM AFFILIATE 531120 120000 120000 5763794 287799 287799 1208 1208 3548895 54458 3243933 0 304962 54458 359420 359420 REFUNDS 900099 18814 18814 RESIDENT HISTORY FEES 900009 6500 6500 MEAL TICKETS 900099 5833 5833 4813 4813 35960 6462168 5763794 0 684387 X 1794876 1551701 243175 112319 97102 15217 356445 313774 42671 247551 214012 33539 480000 480000 23660 23660 26500 26500 25778 25778 646003 606985 39018 35665 35665 110851 76518 34333 621247 425007 196240 2241 187 2054 14221 13210 1011 35078 35078 716955 716955 62374 10471 51903 LETTER OF CREDIT FEES 378251 378251 DIETARY COSTS 294600 294600 CONTRACTED SERVICES 171299 167652 3647 OTHER DIRECT EXPENSES 36278 14844 21434 10434 10434 6202626 4548530 1654096 0 58785 170285 956008 1199274 199698 195904 134883 98782 17739217 7548553 10817988 10190664 6881217 7619248 229238 248738 661 64547 19278478 19787442 740565 1058410 171250 194115 14055000 13620000 421671 396641 402843 219474 609969 16010803 15879135 X 38437 659569 3000000 3000000 229238 248738 3267675 3908307 19278478 19787442 X 259542 361590 19500 X X 0 1 X 1 0 X 34162 17372 13987 65521 5294811 4543575 5215069 5338706 5763794 26155955 5328973 4543575 5215069 5356078 5777781 26221476 0 981556 1183017 1201952 1002783 603496 4972804 981556 1183017 1201952 1002783 603496 4972804 21248672 502644 502075 445884 402678 289007 2142288 502644 502075 445884 402678 289007 2142288 28534 88423 24649 66332 35960 243898 5860151 5134073 5685602 5825088 6102748 28607662 0.74280 0.72600 0.07490 0.08080 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 28,534. 2009 AMOUNT: $ 88,423. 2010 AMOUNT: $ 20,125. 2011 AMOUNT: $ 6,895. 2012 AMOUNT: $ 2,375. 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. PENSION PLAN FOREFITURES - 2011 AMOUNT: $ 4,373. REFUNDS - 2011 AMOUNT: $ 39,779. 2012 AMOUNT: $ 18,814. MEAL TICKET REVENUE - 2012 AMOUNT: $ 5,833. 0 1 X 3000000 632230 632230 3000000 3000000 296946 296946 3000000 3000000 504693 504693 3000000 2015783 1026877 42660 3000000 3000000 -879217 105000 2015783 1.00000 0 0 14301604 5387070 8914534 762238 551303 210935 2675375 1610180 1065195 10190664 DUE TO AFFILIATES 247856 NOTES PAYABLE TO AFFILIATES 362113 609969 X 6797980 361590 361590 6436390 25778 25778 6462168 6176848 0 6176848 25778 25778 6202626 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. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009. 0 0 0 0 0 0 0 0 0 JOHN R AHEARN 0 299994 0 0 0 2514 0 25474 0 22875 0 350857 0 0 SANDRA RIVERA 0 158459 0 0 0 683 0 14123 0 548 0 173813 0 0 DIANA PENNA 124995 0 0 0 1205 0 9634 0 22561 0 158395 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE MEETS PERIODICALLY TO CONSIDER 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. ORGANIZATION MISSION STATEMENT 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. PER THIS MANAGEMENT AGREEMENT THE CEO AND CFO OF FIELD HOME HOLY COMFORTER, ARE RESPONSIBLE FOR THE MANAGEMENT DUTIES OF CATHARINE FIELD HOME. 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 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 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 15A THE COMPENSATION COMMITTEE MEETS PERIODICALLY TO CONSIDER 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 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. OTHER FEES FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 33,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,211. CONSULTING: PROGRAM SERVICE EXPENSES 15,808. MANAGEMENT AND GENERAL EXPENSES 39,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,826. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 18,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,634. DIETERY SERCICES: PROGRAM SERVICE EXPENSES 539,332. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 539,332. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 19,500. 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 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 0 1 0 0 0 0 1 0 1 1 0 1 0 0 0 0