CHAPIN HOME FOR THE AGING: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHAPIN HOME FOR THE AGING (EIN 13-5601035)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349301856
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T09:59:04-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUEAddressLine1
CityHARRISONCity
StateNYState
ZIP Code105281633ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN135601035EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHAPIN HOME FOR THE AGINGBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHAPNameControl
Phone7187392523Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165-01 CHAPIN PARKWAYAddressLine1
CityQUEENSCity
StateNYState
ZIP Code11432ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANET M UNGERName
TitleEXECUTIVE VP & ADMINISTRATORTitle
Phone7187392523Phone
Date Signed2013-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINSName
PTINP00543209PTIN
Phone9143818900Phone
Date Prepared2013-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANET M UNGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1165-01 CHAPIN PARKWAYAddressLine1
CityQUEENSCity
StateNYState
ZIP Code11432ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23257551GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHAPINHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1869YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SKILLED NURSING SERVICES, AND LONG-TERM CARE SERVICES IN A RESIDENTIAL HEALTHCARE ENVIRONMENT AND ADULT DAY CARE HEALTHCARE SERVICES ON AN OUTPATIENT BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees324TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28598ContributionsGrantsPriorYear
Contributions Grants Current Year28733ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21156106ProgramServiceRevenuePriorYear
Program Service Revenue CY22395179ProgramServiceRevenueCY
Investment Income Prior Year831109InvestmentIncomePriorYear
Investment Income Current Year832897InvestmentIncomeCurrentYear
Other Revenue Prior Year3046OtherRevenuePriorYear
Other Revenue Current Year742OtherRevenueCurrentYear
Total Revenue Prior Year22018859TotalRevenuePriorYear
Total Revenue Current Year23257551TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13471729SalariesEtcPriorYear
Salaries Etc Current Year13729837SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7216294OtherExpensePriorYear
Other Expenses Current Year8605278OtherExpensesCurrentYear
Total Expenses Prior Year20688023TotalExpensesPriorYear
Total Expenses Current Year22335115TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1330836RevenuesLessExpensesPriorYear
Revenues Less Expenses CY922436RevenuesLessExpensesCY
Total Assets BOY61611096TotalAssetsBOY
Total Assets EOY62011531TotalAssetsEOY
Total Liabilities BOY18415810TotalLiabilitiesBOY
Total Liabilities EOY17414325TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY43195286NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY44597206NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE SKILLED NURSING CARE TO ITS FRAIL, ELDERLY RESIDENTS AND ADULT DAY HEALTH SERVICES TO PROGRAM PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20419219Expense
Revenue21591227Revenue
DescriptionPRIVATE, MEDICAID, AND MEDICARE COVERED RESIDENTS RECEIVED SKILLED NURSING CARE IN A 220 BED SKILLED NURSING FACILITY. DURING 2012, THERE WERE 118 ADMISSIONS AND 126 DISCHARGES, AND 78,405 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. CONSULTING PHYSICIANS IN A FULL SPECTRUM OF MEDICAL SPECIALTIES ARE AVAILABLE. ADDITIONALLY, THESE SERVICES ARE OFFERED AS NEEDED:- PSYCHIATRIC - PSYCHOLOGICAL- PODIATRY - AUDIOLOGY - DENTAL - OPHTHALMOLOGY/OPTOMETRYNURSINGA SKILLED DIRECTOR OF NURSING, A FULL STAFF OF REGISTERED NURSES, LICENSED PRACTICAL NURSES AND CERTIFIED NURSING ASSISTANTS PROVIDE PROFESSIONAL AND PERSONAL CARE, TWENTY-FOUR HOURS A DAY, ACCORDING TO THE INDIVIDUALIZED HEALTHCARE PLAN DEVELOPED BY THE CLINICAL TEAM.NUTRITION A REGISTERED DIETITIAN EVALUATES THE NUTRITIONAL NEEDS OF EACH NEW RESIDENT. SPECIAL DIETS ARE PLANNED PROVIDING NUTRITIONAL CARE WITH CONSIDERATION FOR PERSONAL FOOD PREFERENCES. SPECIAL MENUS ARE PREPARED FOR HOLIDAYS AND FESTIVE OCCASIONS, WITH COOKOUTS PLANNED FREQUENTLY DURING THE SUMMER MONTHS. REHABILITATION CHAPIN HOME'S REHAB DEPARTMENT IS ABLE TO HANDLE ANY PLAN OF CARE, BOTH LONG TERM AND SHORT TERM, SET FORTH BY THE PHYSICIAN. OUR THERAPIES INCLUDE:- PHYSICAL THERAPY - OCCUPATIONAL THERAPY - SPEECH THERAPYOUR 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense538316Expense
Revenue803952Revenue
DescriptionSINCE 1869, CHAPIN HOME HAS BEEN COMMITTED TO PROVIDING CARE, COMFORT, AND COMPANIONSHIP TO THE ELDERLY IN A WARM AND HOME-LIKE ENVIRONMENT. THIS 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 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. WE SUPPLY A SECURE AND DIGNIFIED ENVIRONMENT IN WHICH THE FOLLOWING ARE ACHIEVED: - PROMOTION OF MAXIMUM INDEPENDENCE- PREVENTION OF FUNCTIONAL DETERIORATION - SOCIALIZATION TO ALLEVIATE ISOLATION- SUPPORT AND RESPITE FOR FAMILIES AND CAREGIVERS - DELAY IN OR AVOIDANCE OF INSTITUTIONALIZATION FOR THE CAREGIVER, WE SUPPLY RESPITE AND SUPPORT, COORDINATION OF MEDICAL DUTIES, HELP WITH THE PRESSURE OF CONSUMING RESPONSIBILITIES, AND CONTACT SUPERVISION.UTILIZING AN INTERDISCIPLINARY TEAM APPROACH TO COORDINATE CARE, ONE OR MORE OF THE FOLLOWING SERVICES ARE AVAILABLE: - COUNSELING- INFORMATION AND REFERRAL- MEDICAL - NURSING- NUTRITIONAL- REHABILITATION- SOCIAL WORK- THERAPEUTIC RECREATION- PERSONAL CARE- HOT MEALS- TRANSPORTATIONCHAPIN HOME'S ADULT DAY CENTER HAD 5,522 VISITS DURING 2012. THE DAY CARE CENTER SERVICES FOR UP TO 50 REGISTRANTS WERE PROVIDED TO QUEENS, NY AREA RESIDENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense20957535TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees324NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM O'HARABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7187392523TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165-01 CHAPIN PARKWAYAddressLine1
CityJAMAICACity
StateNYState
ZIP Code11432ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
REV SARAH BROWN
PRESIDENT0.500.50XX000
DIANCE CUCCHI ESQ
VICE PRESIDENT0.500.50XX000
FLORENCE FIEDLER
TREASURER0.500.50XX000
DR MADELINE HURSTER
SECRETARY0.500.50XX000
VIRGINIA BELLING RN
MEMBER0.500.50XX000
SISTER CAROL DERBY
MEMBER0.500.50XX000
LAURA DOMINGUEZ
MEMBER0.500.50XX000
KAREN DONNELLY
MEMBER0.500.50XX000
GRADITA TEAHAN
MEMBER0.500.50XX000
RITA THOMPSON ASSISTANT SECRETARY
TERM ENDED JUNE 20120.500.50XX000
THERESA CLARK
MEMBER0.500.50X000
JANET M UNGER MPA LHHA
EXEC. VP & ADMINISTRATOR35.000.50X217539032162
WILLIAM B O'HARA
CFO35.000.50X146742026822
ALYCE BRODY RN
DIRECTOR OF NURSING35.00130523021862X
DR JOHN RAWLINGS MD
MEDICAL DIRECTOR21.00121871029457X
ANDREW LOMBARDO
DIR. OF ENVIRONMENTAL SERVICES35.00117662013318X
FieldValueIRS element (for citing)
Total Reportable Comp From Org734337TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation123621TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB ALTERNATIVES
75 REMITTANCE DRCHICAGOIL60603THERAPIST SERV PT OT ST999880
MERIDIAN NURSE RECRUITERS
471 N BROADWAY SUITE 349JERICHONY11753NURSING SERVICES286127
DEPENDABLE AMBULETTE INC
2 HORTON AVEVALLEY STREAMNY11581AMBULETTE SERVICES197383
ANGELICA CORPORATION
PO BOX 823283PHILADELPHIAPA19185LAUNDRY SERVICES106313
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions28733AllOtherContributions
Total Contributions28733TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID NET RESIDENT6230001449462314494623
MEDICARE NET RESIDENT REVENUE62300045656124565612
PRIVATE RESIDENT REVENUE62300025309922530992
ADULT DAY HEALTH CARE621400803952803952
FieldValueIRS element (for citing)
Total Program Service Revenue22395179TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column832897TotalRevenueColumn
Exclusion$832,897ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEDICAL RECORDS FEEDescription
Business Code900099BusinessCode
Total Revenue Column742TotalRevenueColumn
Exclusion$742ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue742TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23257551TotalRevenueColumn
Related Or Exempt Function Income22395179RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$833,639ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total423265Total
Management And General423265ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9554928Total
Program Services9383217ProgramServices
Management And General171711ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total807851Total
Program Services793642ProgramServices
Management And General14209ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1816161Total
Program Services1784217ProgramServices
Management And General31944ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1127632Total
Program Services1107798ProgramServices
Management And General19834ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total89248Total
Management And General89248ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45250Total
Management And General45250ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1376Total
Management And General1376ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2431018Total
Program Services2315397ProgramServices
Management And General115621ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total400864Total
Program Services365755ProgramServices
Management And General35109ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1146598Total
Program Services1075198ProgramServices
Management And General71400ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24419Total
Program Services8876ProgramServices
Management And General15543ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total588392Total
Program Services571090ProgramServices
Management And General17302ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total283667Total
Management And General283667ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CASH RECEIPTS ASSESSMEN12212421221242
BAD DEBT EXPENSE811198811198
FOOD798005798005
LAUNDRY AND LINENS322924322924

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total441077Total
Program Services398976ProgramServices
Management And General42101ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22335115Total
Program Services20957535ProgramServices
Management And General1377580ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1337087BOY
EOY1311327EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29323022BOY
EOY35538142EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3940506BOY
EOY3416435EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY30968BOY
EOY34509EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66009BOY
EOY67711EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23719209LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16507666LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7596915BOY
EOY7211543EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19316589BOY
EOY14431864EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61611096BOY
EOY62011531EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2200069BOY
EOY2070243EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY418606BOY
EOY401540EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13767247BOY
EOY13432299EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2029888BOY
EOY1510243EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18415810BOY
EOY17414325EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43133902BOY
EOY44535822EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY61384BOY
EOY61384EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43195286BOY
EOY44597206EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61611096BOY
EOY62011531EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses922436ReconcilationRevenueExpenses
Reconciliation Unrealized Invest479484ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40550CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27626CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years283481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28598CurrentTaxYearMinus1Year
Current Tax Year28733CurrentTaxYear
Total408988Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20904554CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20590451CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19142840CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21156106CurrentTaxYearMinus1Year
Current Tax Year22395179CurrentTaxYear
Total104189130Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20945104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20618077CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19426321CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21184704CurrentTaxYearMinus1Year
Current Tax Year22423912CurrentTaxYear
Total104598118Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Total5000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5000CurrentTaxYearMinus2Years
Total5000Total
FieldValueIRS element (for citing)
Public Support Total509104593118PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1255229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1241166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1066493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year831109CurrentTaxYearMinus1Year
Current Tax Year832897CurrentTaxYear
Total5226894Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1255229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1241166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1066493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year831109CurrentTaxYearMinus1Year
Current Tax Year832897CurrentTaxYear
Total5226894Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3046CurrentTaxYearMinus1Year
Current Tax Year742CurrentTaxYear
Total3788Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22200333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21859243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20492814CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22018859CurrentTaxYearMinus1Year
Current Tax Year23257551CurrentTaxYear
Total109828800Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95230PublicSupportPercentage509
Prior Year Support Percentage0.94820PriorYearSupportPercentage
Investment Income Percentage0.04760InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05180PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS FEE - 2011 AMOUNT: $ 3,046. 2012 AMOUNT: $ 742.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,376OtherActivitiesAmount
Total Lobbying Expenditures IIB1376TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationCHAPIN HOME FOR THE AGING PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO CCLC DUES WERE $1,376.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance61384BeginningOfYearBalance
Investment Earnings Or Losses57InvestmentEarningsOrLosses
Other Expenditures57OtherExpenditures
End Of Year Balance61384EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance61384BeginningOfYearBalance
Investment Earnings Or Losses114InvestmentEarningsOrLosses
Other Expenditures114OtherExpenditures
End Of Year Balance61384EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance61384BeginningOfYearBalance
Investment Earnings Or Losses198InvestmentEarningsOrLosses
Other Expenditures198OtherExpenditures
End Of Year Balance61384EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance61384BeginningOfYearBalance
Investment Earnings Or Losses1568InvestmentEarningsOrLosses
Other Expenditures1568OtherExpenditures
End Of Year Balance61384EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance61384BeginningOfYearBalance
Investment Earnings Or Losses2367InvestmentEarningsOrLosses
Other Expenditures2367OtherExpenditures
End Of Year Balance61384EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9600OtherCostOrOtherBasis
Book Value9600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21163596OtherCostOrOtherBasis
Depreciation14192018Depreciation
Book Value6971578BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2546013OtherCostOrOtherBasis
Depreciation2315648Depreciation
Book Value230365BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7211543TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionESTIMATED THIRD PARTY LIABILITYDescription
Amount$1,510,243Amount
FieldValueIRS element (for citing)
Total Of Amounts1510243TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt23737035TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments479484NetUnrealizedGainsInvestments
Revenue Not Rptd F990479484RevenueNotRptdF990
Revenue Subtotal23257551RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99023257551TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22335115TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal22335115ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022335115TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
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, 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JANET M UNGER MPA LHHA
EXEC. VP & ADMINISTRATOR200000060000115390217540104080249701000
WILLIAM B O'HARA
CFO13587204076067940146740121480173564000
ALYCE BRODY RN
DIRECTOR OF NURSING1212860363905598013052088100152385000
DR JOHN RAWLINGS MD
MEDICAL DIRECTOR11315003351053700121970172600151328000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6CHAPIN 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 MEMBER. 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 7ATHE 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 7BTHE MEMBERSHIP APPROVES ALL DECISIONS AND ACTIONS BY THE BOARD OF TRUSTEES AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 11CHAPIN HOME'S FORM 990 IS PREPARED BY THE HOME'S COMPTROLLER 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 COMPTROLLER 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 12CCHAPIN 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 15THE 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 ASSOCIATION, 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 AND KEY EMPLOYEES OF THE ORGANIZATION. BASED ON COMPARABLE SALARIES AT OTHER NURSING HOMES, FORM 990S 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 PRESIDENT'S REVIEW, HER RECOMMENDATION IS PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR INSPECTION DURING REGULAR BUSINESS HOURS AND ON GUIDE STAR.
FORM 990, PART VI, SECTION C, LINE 19CHAPIN 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 11GNURSING SERVICES: PROGRAM SERVICE EXPENSES 562,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 562,769. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 16,576. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,576. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 18,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,818. PHARMACY CONSULTANTS: PROGRAM SERVICE EXPENSES 18,480. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,480. DENTAL FEES: PROGRAM SERVICE EXPENSES 43,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,250. THERAPY: PROGRAM SERVICE EXPENSES 1,102,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,102,948. ACTIVITIES PROGRAM FEES: PROGRAM SERVICE EXPENSES 4,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,372. FOOD SERVICES: PROGRAM SERVICE EXPENSES 7,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,655. GROUNDS AND MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 146,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,349. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 87,814. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,814. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 106,313. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,313. SECURITY: PROGRAM SERVICE EXPENSES 2,670. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,670. DAYCARE SERVICES: PROGRAM SERVICE EXPENSES 197,383. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,383. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 115,621. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,621.OTHER FEES
FORM 990, PART XII, LINE 2C:CHAPIN HOME HAS BOARD MEMBERS THAT FUNCTION AS A FINANCE COMMITTEE WHICH HAS 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 TO THE FULL BOARD AND MEMBERSHIP THE RESULTS OF THEIR AUDIT AND THEIR REQUIRED COMMUNICATION WITH THOSE IN CHARGE OF GOVERNANCE AND MANAGEMENT COMMENTS, IF ANY. THIS PROCESS HAS BEEN CONSISTENTLY FOLLOWED YEAR TO YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHAPIN FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165-01 CHAPIN PARKWAYAddressLine1
CityQUEENSCity
StateNYState
ZIP Code11432ZIPCode
FieldValueIRS element (for citing)
EIN112650375EIN
Primary ActivitiesSUPPORT CHARITABLE ORGANIZATIONSPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHAPIN HOME FOR THE AGINGBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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