Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CARE AT HOME
Employer identification number
02-0568159
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
25,336
16,500
88,901
45,641
176,378
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3,659,047
2,870,293
2,683,133
2,474,230
2,579,985
14,266,688
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
3,659,047
2,895,629
2,699,633
2,563,131
2,625,626
14,443,066
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
14,443,066
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
3,659,047
2,895,629
2,699,633
2,563,131
2,625,626
14,443,066
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
4,842
4,428
2,864
12,134
13
Total support (Add lines 9, 10c, 11 and 12.).
3,659,047
2,895,629
2,704,475
2,567,559
2,628,490
14,455,200
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
99.920 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
99.940 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
CABRINI CARE AT HOME
Employer identification number
02-0568159
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE SOLE MEMBER OF THE ORGANIZATION IS CABRINI OF WESTCHESTER.
FORM 990, PART VI, SECTION A, LINE 7A
CABRINI OF WESTCHESTER HAS THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY AFTER THE NOMINATING COMMITTEE SENDS THEM A NOMINATION FOR THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B
THE MEMBERS HAVE THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION, AND APPROVE SUBSTANTIAL TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 11
CABRINI CARE AT HOME HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY, A SELECT NUMBER OF EMPLOYEES (DIRECTOR-LEVEL AND ABOVE, AS WELL AS ALL EMPLOYEES WITH ANY FISCAL RESPONSIBILITY), ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IF A CONFLICT IS IDENTIFIED, THE DIRECTOR OF INTERNAL AUDIT INVESTIGATES. IF AN AFFILIATED PERSON (TO AN EMPLOYEE) HAS PROVIDED SERVICES, CARE IS TAKEN TO SHOW THAT MULTIPLE PROPOSALS WERE SOUGHT, AND THE LOWEST-PRICED, BEST-EXPERIENCED VENDOR WAS CHOSEN. ANY POTENTIAL CONFLICTS WILL BE BROUGHT TO THE ATTENTION OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15
IN 2008 A PROCESS WAS DEVELOPED TO DETERMINE THE COMPENSATION OF KEY EMPLOYEES AND OFFICERS OF THE ORGANIZATION AND ITS RELATED ENTITIES, RESULTING IN IDENTIFICATION OF THESE POSITIONS APPROPRIATE FOR ANNUAL COMPENSATION REVIEW: PRESIDENT AND CEO VICE PRESIDENT AND CFO VICE PRESIDENT AND ADMINISTRATOR (2) VICE PRESIDENT OF LICENSED HOMECARE AGENCY PURSUANT TO THIS PROCESS, COMPARABLE COMPENSATION DATA FOR EACH OF THESE TITLES WERE OBTAINED FROM AN INDEPENDENT COMPENSATION ANALYSIS FIRM. THE FIRM BENCHMARKED THE COMPENSATION OF THESE EXECUTIVE LEVEL POSITIONS USING PROPRIETARY DATABASES AND PARTICIPATORY COMPENSATION SURVEY SOURCES. IN 2009, THE BENCH MARK RESULTS WERE UPDATED BY AN INDEPENDENT COMPENSATION ANALYSIS FIRM. ALL BUT THE VP/CFO POSITION (VACANT AT THE TIME OF ANLYSIS) WETRE FOUND TO BE WITHIN 98% OF THE MARKET AVERAGE (OR MARKET MEAN) FOR EACH OF THE POSITIONS. CONSISTENT WITH ALL OTHER MANAGEMENT AND SUPERVISORY STAFF, IN 2009, THE COMPENSATION OF THESE POSITIONS WAS NOT INCREASED. THE COMPENSATION REVIEW FOR THE PRESIDENT AND CEO POSITION, RELYING UPON INDEPENDENT COMPARABLE COMPENSATION DATA WAS MADE BY THE BOARD OF TRUSTEES. NOTWITHSTANDING THE BOARD'S CONTINUED CONFIDENCE AND TRUST IN THE CEO, THE BOARD DETERMINED NOT TO INCREASE SALARY BASED UPON PREVAILING ECONOMIC CONDITIONS AND REDUCED NEW YORK STATE FUNDING. DOCUMENTATION CONTEMPORANEOUS WITH THE DELIBERATIONS OF THE BOARD OF TRUSTEES WAS MADE AND ENTERED INTO THE MINUTES OF THE BOARD OF TRUSTEES EXECUTIVE SESSION; A MEMORANDUM AND PERFORMANCE ASSESSMENT SUMMARY WAS ISSUED AND FILED IN THE PERSONNEL FILE.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FORM 990 AS WELL AS THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT 220 EAST 19TH STREET, NEW YORK, NY 10003...OR BY CALLING THE ORGANIZATION DIRECTLY AT (212)-995-7080.
FORM 990, PART VII, SECTION A
THE FOLLOWING BOARD MEMBERS OF CABRINI CARE AT HOME VOLUNTEERED FOR AN AVERAGE OF .30 HOURS FOR CABRINI OF WESTCHESTER: KENNETH KAUFMANN, RALPH LUCARIELLO, AND JAMES SMITH. THE FOLLOWING BOARD MEMBERS VOLUNTEERED FOR AN AVERAGE OF .10 HOURS FOR CABRINI HOUSING DEVELOPMENT FUND CORPORATION: KENNETH KAUFMANN, AND JAMES SMITH. PATRICIA KRASNAUSKY WORKED AN AVERAGE OF 18.80 HOURS FOR CABRINI CENTER FOR NURSING AND REHABILITATION, 18.80 HOURS FOR CABRINI OF WESTCHESTER, AND .10 HOURS FOR CABRINI HOUSING DEVELOPMENT FUND CORPORATION. DAVID ARDITTI WORKED AVERAGE OF 18.80 FOR CABRINI CENTER FOR NURSING AND REHABILITATION AND CABRINI OF WESTCHESTER. DEBORAH ENGELSON WORKED AN AVERAGE OF 15 HOURS PER WEEK FOR CABRINI CENTER FOR NURSING AND REHABILITATION. CLAIRE BOLAND ARELLANO WORKED AN AVERAGE OF 17.80 FOR CABRINI OF WESTCHESTER AND CABRINI CENTER FOR NURSING AND REHABILITATION.
FORM 990, PART XII, LINE 2C
THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.