2017-11-15T15:42:23-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2016-01-01 135601035 CHAPIN HOME FOR THE AGING CHAP 7187392523 165-01 CHAPIN PARKWAY QUEENS NY 11432 JENNIFER MCMANAMAN EXECUTIVE VP & ADMINISTRATOR 7187392523 2017-11-15 1 GARRETT M HIGGINS P00543209 9143818900 2017-11-14 65.51.112.58 2017-11-15 16:41:48 ES P 39A6500A14EBDEC7A476CCE4E0A7F613C193113C A3EB9A663B166A7F172762214481AEBFA8C1AD13 2016 2021-01-29 14:40:06Z JANET M UNGER 165-01 CHAPIN PARKWAY QUEENS NY 11432 22586996 0 X WWW.CHAPINHOME.ORG X 1869 NY TO PROVIDE SKILLED NURSING SERVICES AND LONG-TERM CUSTODIAL SERVICES IN A RESIDENTIAL HEALTHCARE ENVIRONMENT FOR 220 RESIDENTS AND ADULT DAY HEALTHCARE SERVICES UNDER A MEDICAL MODEL OUTPATIENT PROGRAM FOR UP TO 50 REGISTRANTS. 11 11 312 10 0 0 19990 27681 20739805 21811827 711455 746291 687 1197 21471937 22586996 0 0 0 0 13601321 12945792 0 0 0 7063011 8397363 20664332 21343155 807605 1243841 62842943 65432186 15172100 15130442 47670843 50301744 X TO PROVIDE SKILLED NURSING CARE TO ITS FRAIL, ELDERLY RESIDENTS AND ADULT DAY HEALTH SERVICES TO PROGRAM PARTICIPANTS. 0 0 18400408 21307029 SINCE 1869, CHAPIN HOME HAS BEEN COMMITTED TO PROVIDING CARE, COMFORT, AND COMPANIONSHIP TO THE ELDERLY IN A WARM AND HOME-LIKE ENVIRONMENT. PRIVATE, MEDICAID, AND MEDICARE COVERED RESIDENTS RECEIVED SKILLED NURSING CARE IN A 220 BED SKILLED NURSING FACILITY. DURING 2016, THERE WERE 132 ADMISSIONS AND 132 DISCHARGES, AND 74,717 DAYS OF CARE WERE DELIVERED TO THE RESIDENTS.UNDER THE DIRECTION OF THE MEDICAL DIRECTOR, TOTAL CARE IS PROVIDED THROUGH THE SERVICES OF BOARD CERTIFIED ATTENDING PHYSICIANS AND CONSULTING PHYSICIANS IN A FULL SPECTRUM OF MEDICAL SPECIALITIES. SOME OF THE SERVICES THAT ARE PROVIDED FOR ON SITE ARE AS FOLLOWS:- PSYCHIATRIC COUNSELING- PSYCHOLOGICAL COUNSELING- PODIATRY SERVICES- OCCUPATIONAL THERAPY- SPEECH THERAPY- PHYSICAL THERAPY - AUDIOLOGY SERVICES - DENTAL SERVICES- OPHTHALMOLOGY/OPTOMETRY SERVICES- IV THERAPY, WOUND CARE, DEMENTIA CARENURSINGTHE NURSING DEPARTMENT IS MANAGED BY AN EXPERIENCED DIRECTOR OF NURSING, ASSISTANT DIRECTOR OF NURSING, A FULL STAFF OF REGISTERED NURSES, SUPERVISORS AND A CARE PLAN COORDINATOR. CLINICAL CARE NURSE MANAGERS, LICENSED PRACTICAL NURSES AND CERTIFIED NURSING ASSISTANTS PROVIDE PROFESSIONAL AND PERSONAL CARE, TWENTY-FOUR HOURS A DAY. THE NURSING DEPARTMENT DEVELOPS AN INDIVIDUALIZED NURSING CARE PLAN FOR EACH RESIDENT AND ENSURES EACH RESIDENT IS CARED FOR IN ACCORDANCE WITH THE INDIVIDUAL PLAN.NUTRITION REGISTERED DIETITIANS EVALUATE THE NUTRITIONAL NEEDS OF EACH RESIDENT. SPECIAL DIETS ARE PLANNED ACCORDINGLY. SPECIAL MENUS ARE PREPARED FOR ALL HOLIDAYS AND CELEBRATIONS. DURING THE SUMMER, WEEKLY COOKOUTS/BBQS ARE SCHEDULED AND ARE OFFERED TO RESIDENTS AND THEIR FAMILIES. REHABILITATION CHAPIN HOME MAINTAINS A STATE OF THE ART COMPREHENSIVE REHABILITATION DEPARTMENT. THE DEPARTMENT HAS A FULL STAFF OF PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, AND SPEECH THERAPISTS. PROGRAMS INCLUDE: CARDIAC REHAB, HIP FRACTURE, AND MORE.OUR LICENSED PROFESSIONALS GUIDE RESIDENTS TO ENHANCE THEIR CURRENT POTENTIAL FOR PHYSICAL INDEPENDENCE, MAXIMIZING THEIR LEVEL OF SELF-SUFFICIENCY, AND OVERCOMING PROBLEMS OF DAILY LIVING. SOCIAL SERVICETHE SOCIAL SERVICE STAFF PROVIDES THE SENSITIVE ATTENTION THAT IS VITAL TO THE PROSPECTIVE RESIDENT AND FAMILY. BEGINNING WITH THE INITIAL INTERVIEW THROUGH THE MANY CONCERNS OF GROUP LIVING ADJUSTMENTS, OUR EXPERIENCED AND CARING PROFESSIONALS OFFER ONGOING SUPPORT IN ALL FACETS OF PERSONAL AND COMMUNITY LIVING. 390863 504798 THE CHAPIN TRADITION IS CARRIED ON WITHIN THE CHAPIN HOME ADULT DAY HEALTHCARE CENTER. THE CENTER PROVIDES COMPREHENSIVE, CREATIVE, AND SPECIALIZED SERVICES TO ENABLE THE OLDER INDIVIDUAL TO REMAIN IN THE COMMUNITY WHILE PROVIDING RESPITE FOR CAREGIVERS. THE CENTER'S GOAL IS TO BE IN PARTNERSHIP WITH THE PARTICIPANT, COMMUNITY PHYSICIAN AND THE CAREGIVER IN MAINTAINING QUALITY OF LIFE AND CARE FOR THOSE WE SERVE. CELEBRATION OF INDIVIDUAL DIVERSITY AS WELL AS OUR COMMON HUMANITY IS THE HALLMARK BY WHICH WE ARE GUIDED. THE ADULT DAY HEALTHCARE PROGRAM FOCUSES ON:1) PROMOTION OF MAXIMUM INDEPENDENCE FOR THE DAYCARE PARTICIPANT2) PREVENTION OF FUNCTIONAL DETERIORATION 3) SOCIALIZATION TO ALLEVIATE ISOLATION4) SUPPORT AND RESPITE FOR FAMILIES AND CAREGIVERS 5) AVOIDANCE OF LONG TERM PLACEMENT FOR AS LONG AS POSSIBLE.FOR THE CAREGIVER, THE DAY CENTER PROVIDES RESPITE CARE AND SUPPORT, COORDINATION OF MEDICAL DUTIES, COUNSELING FOR THE PRESSURES OF HEALTH CARE RESPONSIBILITIES, AND EDUCATIONAL INFORMATION.UTILIZING AN INTERDISCIPLINARY TEAM APPROACH TO COORDINATE INDIVIDUALIZED CARE, THE FOLLOWING SERVICES ARE AVAILABLE: - COUNSELING- INFORMATION AND REFERRAL- MEDICAL - NURSING- NUTRITIONAL- REHABILITATION (PT, OT, ST)- SOCIAL WORK- THERAPEUTIC RECREATION- PERSONAL CARE- HOT MEALS- TRANSPORTATIONCHAPIN HOME'S ADULT DAY CENTER HAD 3,148 VISITS DURING 2016. THE DAY CARE CENTER CAN SERVICES FOR UP TO 50 REGISTRANTS IN THE QUEENS, NY AREA. MAXIMUM DAILY CENSUS IS 25. 18791271 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 0 0 0 1 29 0 312 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X WILLIAM O'HARA 7187392523 165-01 CHAPIN PARKWAY JAMAICA NY 11432 REV SARAH BROWN PRESIDENT 0.50 0.50 X X 0 0 0 DIANE CUCCHI ESQ VICE PRESIDENT 0.50 0.50 X X 0 0 0 THERESA CLARK TREASURER 0.50 0.50 X X 0 0 0 VIRGINIA BELLING RN MEMBER 0.50 0.50 X 0 0 0 SISTER CAROL DERBY MEMBER 0.50 0.50 X 0 0 0 LAURA DOMINGUEZ MEMBER 0.50 0.50 X 0 0 0 KAREN DONNELLY MEMBER 0.50 0.50 X 0 0 0 GRADITA TEAHAN MEMBER 0.50 0.50 X 0 0 0 ROSE MARIE CURLEY MEMBER 0.50 0.50 X 0 0 0 MAUREEN MCDONALD MEMBER 0.50 0.50 X 0 0 0 VIRGINIA O'LEARY MEMBER 0.50 0.50 X 0 0 0 JANET M UNGER MPA LNHA EXEC. VP & ADMINISTRATOR 34.50 0.50 X 226870 0 23738 WILLIAM B O'HARA JD CPA CFO 34.50 0.50 X 166901 0 34431 VERNITA FORD DIRECTOR OF NURSING 35.00 X 128676 0 9792 ANDREW LOMBARDO DIRECTOR OF PLANT OPERATIONS 35.00 X 122812 0 12386 DR NODAR JANAS MEDICAL DIRECTOR 15.00 X 108500 0 0 753759 0 80347 5 0 1 0 REHAB ALTERNATIVES PO BOX 75343 CHICAGO IL 60603 THERAPIST SERV PT OT ST 845868 HEALTH CARE SERVICES GROUP 3220 TILLMAN DR SUITE 300 BENSILENT PA 19020 CLEANING SERVICES 628208 MERIDIAN NURSE RECRUITERS 471 N BROADWAY SUITE 349 JERICHO NY 11753 NURSING SERVICES 457186 ACS CARE SERVICES PO BOX 9627 MANCHESTER NH 03108 NURSING SERVICES 129921 N AND I JANAS MEDICAL PC 20 WESTWOOD CIRCLE EAST HILLS NY 11577 MEDICAL DIRECTOR SERVICES 108500 5 8000 19681 27681 MEDICAID NET RESIDENT REVENUE 623000 16031309 16031309 PRIVATE RESIDENT REVENUE 623000 2623617 2623617 MEDICARE NET RESIDENT REVENUE 623000 2357001 2357001 ADULT DAY HEALTH CARE 621400 511129 511129 UNIVERSAL SETTLEMENT 623000 288771 288771 21811827 746291 746291 MEDICAL RECORDS FEE 900099 1197 1197 1197 22586996 21811827 0 747488 X 451940 451940 9115871 8456357 659514 760125 728121 32004 1879469 1483466 396003 738387 687829 50558 112608 4108 108500 60203 60203 48050 48050 3394 3394 2903758 2610616 293142 284302 238686 45616 984076 960376 23700 20259 6614 13645 1179 1179 530585 530585 223314 223314 CASH RECEIPTS ASSESSMEN 1232409 1232409 FOOD 797954 797954 ALLOWANCE FOR DOUBTFUL 578200 578200 DISPOSABLE DIAPERS AND 257197 257197 359875 217574 142301 21343155 18791271 2551884 0 961702 2258152 39411977 40181671 3045267 3325890 185699 165628 25063210 18549462 6595686 6513748 12642612 12987097 62842943 65432186 1871111 1956429 372241 309695 12315738 11831756 613010 1032562 15172100 15130442 X 47609459 50240360 61384 61384 47670843 50301744 62842943 65432186 1243841 1387060 0 X X 0 1 X 1 1 1 X 28733 50436 45090 19990 27681 171930 22395179 20807843 20272424 20739805 21811827 106027078 22423912 20858279 20317514 20759795 21839508 106199008 15995 16162 32157 0 15995 16162 32157 106166851 832897 608146 657438 711455 746291 3556227 832897 608146 657438 711455 746291 3556227 742 3377 3431 687 1197 9434 23257551 21469802 20978383 21471937 22586996 109764669 0.96720 0.96630 0.03240 0.03330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS FEE - 2012 AMOUNT: $ 742. 2013 AMOUNT: $ 3,377. 2014 AMOUNT: $ 3,431. 2015 AMOUNT: $ 687. 2016 AMOUNT: $ 1,197. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3394 3394 0 PART II-B, LINE 1: DURING 2016, CHAPIN HOME FOR THE AGING PAID DUES TO THREE (3) NURSING HOME ASSOCIATIONS. EACH ASSOCIATION PARTICIPATES IN LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBERSHIP AND EACH MEMBER IS NOTIFIED OF THE PERCENTAGE THAT DUES WERE USED FOR LOBBYING ACTIVITIES. IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY THE MEMBER ASSOCIATIONS, THE AMOUNT OF LOBBYING EXPENSES ALLOCATED TO CHAPIN ARE AS FOLLOWS: CONTINUING CARE LEADERSHIP COALITION (CCLC): $575, SOUTHERN NEW YORK ASSOCIATION: $436, AND LEADING AGE NEW YORK: $2,383. 0 1 X 61384 11 11 61384 61384 6 6 61384 61384 6 6 61384 61384 63 63 61384 61384 57 57 61384 1.00000 0 0 9600 9600 22120469 16137111 5983358 2933141 2412351 520790 6513748 ESTIMATED THIRD PARTY LIABILITY 1032562 1032562 X 23974056 1387060 1387060 22586996 0 22586996 21343155 0 21343155 0 21343155 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AND OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART V, LINE 4: INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUND IS TO PROVIDE INTEREST INCOME TO BE USED FOR GENERAL OPERATIONS. 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 DECEMBER 31, 2013. X X X X X 0 0 0 0 0 0 0 0 0 JANET M UNGER MPA LNHA EXEC. VP & ADMINISTRATOR 214165 0 0 0 12705 0 22600 0 1138 0 250608 0 0 0 WILLIAM B O'HARA JD CPA CFO 156602 0 0 0 10299 0 17562 0 16869 0 201332 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 CHAPIN HOME FOR THE AGING CONTRACTS FOR THE SERVICES OF ITS MEDICAL DIRECTOR POSITION. THE MEDICAL DIRECTOR IS RESPONSIBLE FOR OVERSEEING ALL MEDICAL SERVICES AT CHAPIN HOME FOR THE AGING. NO CURRENT OR FORMER OFFICER, DIRECTOR, KEY EMPLOYEE OF CHAPIN HOME WAS COMPENSATED BY THE MEDICAL DIRECTOR OR HIS AFFILIATES, DURING 2016. FORM 990, PART VI, SECTION A, LINE 6 CHAPIN HOME IS A NOT FOR PROFIT MEMBERSHIP CORPORATION FOUNDED IN 1869. CORPORATE MEMBERS PROVIDE BROAD SUPPORT TO THE CORPORATION. THE BOARD OF TRUSTEES IS SELECTED FROM THE CORPORATE MEMBERS. THE BOARD OF TRUSTEES MEET MONTHLY EXCEPT DURING THE MONTHS OF JULY AND AUGUST. THE MEMBERSHIP MEETS ANNUALLY. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATION HAS MEMBERS THAT ELECT THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES ELECT, FROM THEMSELVES, THE OFFICERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERSHIP APPROVES ALL DECISIONS AND ACTIONS BY THE BOARD OF TRUSTEES AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B CHAPIN HOME'S FORM 990 IS PREPARED BY THE HOME'S CFO AND IS THEN REVIEWED BY THE HOME'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE 990 IS THEN DISTRIBUTED TO THE TRUSTEES FOR THEIR REVIEW AT A BOARD MEETING. TRUSTEES ARE ASKED TO REVIEW THE FORM AND DIRECT ANY QUESTIONS TO THE CFO FOR RESOLUTION. AT THE NEXT BOARD OF TRUSTEES MEETING, THE TRUSTEES VOTE TO APPROVE THE FORM 990. APPROVAL IS DOCUMENTED IN THE MINUTES OF THE BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION B, LINE 12C CHAPIN HOME HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO ALL BOARD MEMBERS AND KEY EMPLOYEES REQUIRING DISCLOSURE OF ALL ACTUAL AND POTENTIAL CONFLICTS. TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. THERE IS AN OBLIGATION FOR TRUSTEES AND KEY EMPLOYEES TO REMAIN IN COMPLIANCE WITH THIS POLICY THROUGHOUT THE YEAR. COMPLIANCE WITH THE POLICY IS MONITORED CONTINUOUSLY AT BOARD MEETINGS THROUGHOUT THE YEAR. THE POLICY IS ALSO REVIEWED ANNUALLY. IF A CONFLICT IS DISCLOSED THE BOARD DECIDES APPROPRIATE ACTION ON A CASE BY CASE BASIS. THE BOARD MEMBER WITH THE CONFLICT IS EXCUSED FROM VOTING ON THE APPROPRIATE ACTION THAT SHOULD BE TAKEN REGARDING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE EXECUTIVE VICE-PRESIDENT/ADMINISTRATOR IS DETERMINED BY THE BOARD OF TRUSTEES BASED ON THE RESULTS OF SALARY AND COMPENSATION SURVEYS PERFORMED BY INDEPENDENT CONSULTANTS, THE NURSING HOME ASSOCIATIONS, AND COMPENSATION INFORMATION FROM 990'S FILED BY COMPARABLE NURSING FACILITIES. THE BOARD ALSO WEIGHS THE EXPERIENCE AND PERFORMANCE OF THE EXECUTIVE VICE PRESIDENT IN ARRIVING AT A COMPENSATION ARRANGEMENT. THIS PROCESS IS DOCUMENTED AND SUPPORTED BY THE MINUTES TO THE BOARD OF TRUSTEES' MEETING. ANNUALLY, THE EXECUTIVE VICE PRESIDENT/ADMINISTRATOR PERFORMS A SALARY REVIEW OF ALL UNION FREE EMPLOYEES, INCLUDING THE OTHER OFFICERS OF THE ORGANIZATION. BASED ON COMPARABLE SALARIES AT OTHER NURSING HOMES, FORM 990'S OF OTHER NURSING HOMES, CURRENT ECONOMIC CONDITIONS, VARIOUS INDUSTRY TRENDS AND INDIVIDUAL EMPLOYEE PERFORMANCE, THE EXECUTIVE VICE PRESIDENT/ADMINISTRATOR DETERMINES WHETHER COMPENSATION SHOULD BE ADJUSTED. BASED ON THE EXECUTIVE VICE-PRESIDENT'S REVIEW, HER RECOMMENDATION IS PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR INSPECTION DURING REGULAR BUSINESS HOURS AND ON GUIDE STAR. FORM 990, PART VI, SECTION C, LINE 19 CHAPIN HOME MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 1023, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CHAPIN HOME ALSO FILES AN ANNUAL COST REPORT WITH 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 IX, LINE 11G NURSING SERVICES: PROGRAM SERVICE EXPENSES 604,813. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 604,813. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 12,350. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,350. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 22,008. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,008. PHARMACY CONSULTANTS: PROGRAM SERVICE EXPENSES 22,514. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,514. DENTAL FEES: PROGRAM SERVICE EXPENSES 42,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,000. THERAPY: PROGRAM SERVICE EXPENSES 883,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 883,687. ACTIVITIES PROGRAM FEES: PROGRAM SERVICE EXPENSES 7,626. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,626. FOOD SERVICES: PROGRAM SERVICE EXPENSES 4,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,845. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 628,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 628,208. LINEN AND LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 156,517. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,517. SECURITY: PROGRAM SERVICE EXPENSES 739. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739. DAYCARE SERVICES: PROGRAM SERVICE EXPENSES 111,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,810. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,262. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 232,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 232,880. SECURITY: PROGRAM SERVICE EXPENSES 3,270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,270. GROUNDS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 110,229. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,229. FORM 990, PART XII, LINE 2C: CHAPIN HOME HAS BOARD MEMBERS THAT FUNCTION AS A FINANCE COMMITTEE AND WHICH HAVE THE RESPONSIBILITY FOR ENGAGING AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM TO CONDUCT AN AUDIT OF THE HOME'S FINANCIAL STATEMENTS ON AN ANNUAL BASIS. THE COMMITTEE, THROUGH ITS DESIGNATION TO THE HOME'S CEO AND CFO, MEETS WITH THE AUDITORS PRE-AUDIT TO DISCUSS THE SCOPE OF SERVICES AND ADDRESS POTENTIAL CONCERNS. THE BOARD ALSO MEETS WITH THE AUDITORS POST-AUDIT TO RECEIVE AND REVIEW THE AUDITED FINANCIAL STATEMENTS. THE AUDITORS REPORT THE RESULTS OF THEIR AUDIT TO THE FULL BOARD AND THEIR REQUIRED COMMUNICATION WITH THOSE IN CHARGE OF GOVERNANCE AND MANAGEMENT COMMENTS, IF ANY. THIS PROCESS HAS BEEN CONSISTENTLY FOLLOWED YEAR TO YEAR. CHAPIN FOUNDATION INC 165-01 CHAPIN PARKWAY QUEENS NY 11432 112650375 SUPPORT CHARITABLE ORGANIZATIONS NY 501(C)3 PF CHAPIN HOME FOR THE AGING 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0