2011-09-30T08:06:31-05:00 2010-12-31 O'CONNOR DAVIES MUNNS & DOBBINS LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2010-01-01 133937652 CATHARINE FIELD HOME CATH 9147392244 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 JOHN R AHEARN 9147392244 2011-09-23 1 9143818900 2010 2016-03-07 17:11:31Z X JOHN R AHEARN 2276 CATHERINE STREET CORTLANDT MANOR NY 10567 7984836 0 X FIELDHOME.COM X 1987 NY CATHARINE FIELD HOME (CFH) IS CARRYING ON A 100 YEAR OLD TRADITION OF CARING AND SERVICES TO THE ELDERLY WITH A MODERN FACILITY WHICH INCORPORATES SOPHISTICATED DESIGN ELEMENTS TO PROVIDE AN ENVIRONMENTAL COMPLIMENT TO ITS PROFESSIONAL PROGRAMS. PROFESSIONAL NURSING AND REHABILITATIVE RECREATION STAFF SEE TO THE PHYSICAL, EMOTIONAL AND SOCIAL NEEDS OF OUR RESIDENTS. 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. 8 8 94 14 0 0 0 0 4543575 5215069 291319 611754 214718 144649 5049612 5971472 0 0 0 0 2227346 2415754 0 0 0 3171978 3328237 5399324 5743991 -349712 227481 19306332 19522352 16392233 16173571 2914099 3348781 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 SPECIAL DESIGNED AND SUPPORTIVE RESIDENCE. 0 0 4420736 5215069 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 OTHER RELATED DISORDERS. 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. 4420736 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 16 0 1 94 1 0 0 0 0 0 0 0 0 0 0 X 8 8 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 X X 0 0 0 LOUIS A MATERASSO 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 X X 0 0 0 GERALDINE L KEARSE 3.00 X X 0 0 0 JOHN R AHEARN 3.00 X X 0 0 0 MARY MELINDA HUNT 3.00 X 0 0 0 ELLEN HIGGINS 37.50 X 66873 0 17532 SANDRA RIVERA 3.00 X 0 0 0 DIANA PENNA 35.00 X 113464 0 27320 180337 0 44852 1 0 0 0 ARAMARK NATIONS BANK - 101 NO TRYON STREET CHARLOTTE NC 28265 FOOD SERVICES 821237 FIELD HOME HOLY COMFORTER 2300 CATHERINE STREET CORTLANDT MANOR NY 10567 MANAGEMENT SERVICES 342420 GRIFFIN LANDSCAPING 1234 LINCOLN TERRACE PEEKSKILL NY 10566 GROUNDS CONTRACT 134315 3 PRIVATE PAY 623000 4739884 4739884 MEDICAID 623000 475185 475185 5215069 325884 325884 120000 120000 120000 120000 2297938 1296 2013364 284574 1296 285870 285870 MISCELLANEOUS 900099 20125 20125 VENDING MACHINES 900099 4524 4524 24649 5971472 5215069 0 756403 238573 238573 1550520 1481025 69495 95295 91873 3422 378372 349053 29319 152994 129951 23043 342420 342420 37585 37585 18700 18700 33957 33957 853635 806105 47530 34780 34780 143994 129707 14287 477871 430284 47587 4430 4430 16027 8916 7111 30557 30557 697380 697380 26180 16976 9204 LETTER OF CREDIT FEES 319928 319928 FOOD 238968 238968 OTHER DIRECT EXPENSES 51825 9941 41884 5743991 4420736 1323255 0 80680 34989 576253 576575 195929 116153 38660 64079 17502916 6121627 11926156 11381289 5920797 6696131 238370 254389 329487 398747 19306332 19522352 673985 742135 17600 102650 14870000 14470000 325299 386495 505349 472291 16392233 16173571 X -324271 94392 3000000 3000000 238370 254389 2914099 3348781 19306332 19522352 X 227481 207201 X X 0 1 1 X 0 X 2500 50 34162 36712 5071584 4942146 5294811 4543575 5215069 25067185 5074084 4942196 5328973 4543575 5215069 25103897 0 676508 748625 981556 1183017 1201952 4791658 676508 748625 981556 1183017 1201952 4791658 20312239 402600 402081 502644 502075 445884 2255284 402600 402081 502644 502075 445884 2255284 56162 67174 28534 88423 24649 264942 5532846 5411451 5860151 5134073 5685602 27624123 0.73530 0.74110 0.08160 0.05970 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME VENDING MACHINES 0 1 3000000 504693 504693 3000000 2015783 1026877 42660 3000000 3000000 -879217 105000 2015783 1.00000 0 0 14116666 4283231 9833435 721066 460510 260556 2665184 1377886 1287298 11381289 DUE TO AFFILIATES 31084 NOTE PAYABLE TO FIELD HOME HOLY COMFORTER 441207 472291 5971472 5743991 227481 191182 16019 207201 434682 6128697 191182 191182 5937515 33957 33957 5971472 5710034 0 5710034 33957 33957 5743991 PART IV, LINE 2B: RESIDENT'S FUNDS ARE HELD BY THE DOMICILIARY ON BEHALF OF RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS, AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED 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: THE DOMICILIARY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING 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 AUDITS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2007. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 16,019. 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, CFO, AND EXTERNAL AUDITORS 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 191,182. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 16,019. TOTAL TO FORM 990, PART XI, LINE 5: 207,201. 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 15 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0