2024-11-14T13:28:52-06:00 2023-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2023-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 KEVIN BROWN CFO & SENIOR VICE PRESIDENT 5856976000 2024-11-14 1 0 RICHARD LEICHT P01378913 5853811000 2024-11-14 2023 2024-10-15 13:58:12Z MICHAEL MCRAE 1500 PORTLAND AVE ROCHESTER NY 14621 78529079 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 24 20 1617 370 0 39538 7820748 8975719 47755704 60909931 1781596 2423710 2743380 2707733 60101428 75017093 0 0 0 0 45285334 51397992 0 0 0 23453563 26350993 68738897 77748985 -8637469 -2731892 119563076 116311213 115764696 112758265 3798380 3552948 X SINCE OUR FOUNDING IN 1874, OUR MISSION HAS BEEN TO PROMOTE THE HIGHEST LEVELS OF INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS IN THE CATHOLIC TRADITION OF EXCELLENCE IN CARE AND SERVICES. ST. ANN'S COMMUNITY, ALSO KNOWN AS ST. ANN'S OF GREATER ROCHESTER, INC., OFFERS A CONTINUUM OF SERVICES FOR SENIORS IN THE GREATER ROCHESTER AREA THROUGH THESE AFFILIATED ORGANIZATIONS: ST. ANN'S HOME FOR THE AGED, ST. ANN'S NURSING HOME COMPANY, INC., CHAPEL OAKS, INC., ST. ANN'S FOUNDATION, INC., ST. ANN'S SENIOR HOUSING, INC., AND ST. ANN'S GREENS OF LEROY, INC. ST. ANN'S HOME IS A 376 BED LICENSED SKILLED NURSING FACILITY. SPECIALIZED CARE OFFERED IN THIS FACILITY INCLUDES 34 UNITS DEDICATED TO PROVIDING SHORT-TERM POST-ACUTE REHABILITATION AND COMPLEX MEDICAL SERVICES, AND 36 UNITS PROVIDING DEMENTIA CARE. ST. ANN'S HOME ALSO OPERATES HOME CONNECTION, A 30 SLOT MEDICAL ADULT DAY PROGRAM, AND ADULT DAY PROGRAM AT DURAND, A 36 SLOT MEDICAL ADULT DAY PROGRAM. 0 0 64331163 60909931 ST. ANN'S HOME FOR THE AGED (ST. ANN'S HOME) IS A 376 BED LICENSED SKILLED NURSING FACILITY THAT INCLUDED THESE SERVICES DURING THE FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 133,325 DAYS OF CARE. INCLUDED IN THESE NUMBERS ARE BED DAYS FOR OUR WEGMAN TRANSITIONAL CARE CENTER, THAT PROVIDES 72 BEDS OF SKILLED NURSING CARE, OUR SPECIAL CARE UNIT, A 36-BED UNIT DEDICATED TO THE CARE FOR THOSE LIVING WITH DEMENTIA, AS WELL AS A 34-BED TRANSITIONAL CARE UNIT DEDICATED TO PROVIDING SHORT TERM POST-ACUTE REHABILITATION. OUR TRANSITIONAL CARE CENTER PROGRAM PROVIDED A TOTAL OF 11,664 DAYS OF CARE. 64331163 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 85 0 1 1617 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 24 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KEVIN BROWN CFO & SENIOR VICE PRESIDENT 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 X DAN ADAMS DIRECTOR 1.00 X 0 0 0 EDMOND AKUBUIRO DIRECTOR 1.00 X 0 0 0 MICHELLE ASHBY DIRECTOR 1.00 X 0 0 0 THOMAS COMBS DIRECTOR 1.00 X 0 0 0 MARK CRONIN VICE CHAIR 1.00 X X 0 0 0 JOHN HAYES CHAIR 1.00 X X 0 0 0 CARMEN INDIANO DIRECTOR 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 X 0 0 0 SR MARLENE PAPE DIRECTOR 1.00 X 0 0 0 MICHAEL PINCH DIRECTOR 1.00 X 0 0 0 PATRICIA RISSONE DIRECTOR 1.00 X 0 0 0 MAURICIO RIVEROS DIRECTOR 1.00 X 0 0 0 CHERYL RYAN DIRECTOR 1.00 X 0 0 0 RONALD SALLUZZO SECRETARY/TREASURER 1.00 X X 0 0 0 DEB SCHAUSEIL DIRECTOR 1.00 X 0 0 0 REV ROBERT SCHRADER DIRECTOR 1.00 X 0 0 0 JOSEPH WESLEY DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 24.00 16.00 X X 529904 0 23829 BRIDGETTE WIEFLING MD DIRECTOR 1.00 0.00 X 0 0 0 JAMES SMITH DIRECTOR 1.00 X 0 0 0 RACHEL BANDYCH DIRECTOR 1.00 X 0 0 0 PAT BURKE DIRECTOR 1.00 X 0 0 0 DR ANGELA SIMS DIRECTOR 1.00 X 0 0 0 RICHARD VANDER HORST DIRECTOR 1.00 X 0 0 0 DENNIS KANT SVP/CFO TO 3/11/23 24.00 16.00 X 286340 0 19528 KEVIN BROWN SVP/CFO AS OF 2/27/23 20.00 20.00 X 178010 0 5421 ROBERT BOURG SVP OF ORGANIZATIONAL DEVEL 30.00 10.00 X 266191 0 5936 SUSAN MURTY VP ADMINISTRATOR 30.00 10.00 X 258704 0 20476 KIM PETRONE CHIEF MEDICAL OFFICER 32.00 8.00 X 469435 0 19143 EILEEN RYAN-MARUKE VP OF MARKETING 25.00 15.00 X 204039 0 19569 AARON FIELDS CHIEF INFORMATION OFFICER 28.00 12.00 X 209475 0 12638 CYNTHIA ANNE LOVETRO DIRECTOR OF NURSING 40.00 0.00 X 231953 0 13069 BRIAN L HEPPARD ATTENDING PHYSICIAN 20.00 20.00 X 378986 0 23214 JENNIFER BLACKCHIEF VP STRATEGY AND HOUSING 2.00 38.00 X 237964 0 3162 BRIAN DAY PHYSICIAN 24.00 0.00 X 217475 0 4050 KRUPA SHAH PHYSICIAN 32.00 0.00 X 218815 0 19713 ADELAIDA SAMUELS ADMINISTRATIVE DIRECTOR 40.00 0.00 X 204367 0 20269 3891658 0 210017 62 0 1 0 SELECT REHABILITATION LLC 2600 COMPASS RD GLENVIEW IL 60026 AGENCY STAFF 561055 BURKE GROUP 80 LINDEN OAKS DRIVE SUITE 210 ROCHESTER NY 14625 FINACIAL ADVISOR 236677 MEDICAL STAFFING NETWORKASSIGNMENT AMER 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 AGENCY STAFF 148892 3 8858750 116969 8975719 NET RESIDENT SERVICE REVENUE 623000 56667212 56667212 SUPPORT SERVICES 623000 4242719 4242719 60909931 794207 794207 111651 35875 75776 75776 75776 5037283 3407780 1629503 1629503 1629503 90490 68331 22159 22159 MANAGEMENT FEE 900099 1786664 1786664 MISCELLANEOUS 900099 538486 538486 MEAL REVENUE 900099 284648 284648 2609798 75017093 60909931 0 5131443 1036529 1036529 41815812 35238052 6577760 2469563 2045308 424255 3000736 2498274 502462 3075352 2531785 543567 137474 137474 44400 44400 28865 28865 2417273 1719254 698019 90485 18897 71588 845840 612707 233133 2284582 2284582 1475582 1470917 4665 110947 46443 64504 2987861 2987861 4702334 4702334 948721 948721 UNRELATED BUSINESS INCO 3596 3596 OTHER EXPENSES 3918930 3231060 687870 NYS ASSESSMENT 3245054 3245054 FOOD 1865871 1817020 48851 1243178 1217476 25702 77748985 64331163 13417822 0 350763 4896065 266662 262859 1726300 0 6109345 5118868 242226 295224 1275880 968310 118409395 44349525 77013645 74059870 14746364 13403865 3511915 3520579 14319976 13785573 119563076 116311213 19873902 15310097 111839 11054 63097973 62360210 4157967 3930696 28523015 31146208 115764696 112758265 X -7155772 -8821444 10954152 12374392 3798380 3552948 119563076 116311213 X -2731892 -29655 2516115 X X 0 1 X 1 0 X 4656884 5733441 8546362 7820748 8858750 35616185 53725914 43154544 43714930 47755704 60909931 249261023 58382798 48887985 52261292 55576452 69768681 284877208 0 0 0 284877208 721104 538609 686419 1178581 794207 3918920 721104 538609 686419 1178581 794207 3918920 1059552 1362950 3050027 2586342 2609798 10668669 60163454 50789544 55997738 59341375 73172686 299464797 0.95130 0.95370 0.01310 0.01340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9111942 1181196 10293138 10484115 -1372173 9111942 9175586 1308529 10484115 8415881 759705 9175586 7158271 1257610 8415881 0.07690 0.92310 0 0 1230549 1230549 91676702 28248912 63427790 24148992 15680063 8468929 1353152 420550 932602 74059870 BENEFICIAL INTEREST - ST. ANN'S FOUNDATION 441365 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 414663 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1207189 BOND FUND 2794048 DEBT SERVICE RESERVE 4527004 DUE FROM AFFILIATES 1668373 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 1066091 DUE FROM THIRD PARTY PAYORS 879528 RIGHT OF USE ASSET 787312 13785573 DEFERRED COMPENSATION 1115342 DUE TO AFFILIATES 29794347 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 122704 OPERATING LEASE - CURRENT AND LONG TERM 113815 31146208 73336175 -29655 2487250 2457595 70878580 4138513 4138513 75017093 73581607 -4138513 -4138513 77720120 28865 28865 77748985 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE TO BE USED FOR IT'S CORPORATE PURPOSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT 2,277,072. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 128,131. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 52,676. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 58,236. INVESTMENT EXPENSES -28,865. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -35,875. SUPPORT SERVICES 4,242,719. COST OF GOODS SOLD -68,331. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 35,875. PAYMENTS FROM AFFILIATES -4,242,719. COST OF GOODS SOLD 68,331. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 382361 0 118541 0 29002 0 7647 0 16182 0 553733 0 0 0 KIM PETRONE CHIEF MEDICAL OFFICER 376740 0 72195 0 20500 0 5919 0 13224 0 488578 0 0 0 BRIAN L HEPPARD ATTENDING PHYSICIAN 351598 0 27388 0 0 0 7032 0 16182 0 402200 0 0 0 DENNIS KANT SVP/CFO TO 3/11/23 225377 0 60963 0 0 0 4508 0 15020 0 305868 0 0 0 SUSAN MURTY VP ADMINISTRATOR 214702 0 44002 0 0 0 4294 0 16182 0 279180 0 0 0 ROBERT BOURG SVP OF ORGANIZATIONAL DEVEL 221393 0 44798 0 0 0 4428 0 1508 0 272127 0 0 0 CYNTHIA ANNE LOVETRO DIRECTOR OF NURSING 194304 0 37649 0 0 0 4639 0 8430 0 245022 0 0 0 JENNIFER BLACKCHIEF VP STRATEGY AND HOUSING 197748 0 40216 0 0 0 1654 0 1508 0 241126 0 0 0 KRUPA SHAH PHYSICIAN 203082 0 15733 0 0 0 4062 0 15651 0 238528 0 0 0 ADELAIDA SAMUELS ADMINISTRATIVE DIRECTOR 159317 0 45050 0 0 0 4087 0 16182 0 224636 0 0 0 EILEEN RYAN-MARUKE VP OF MARKETING 170923 0 33116 0 0 0 3418 0 16151 0 223608 0 0 0 AARON FIELDS CHIEF INFORMATION OFFICER 177986 0 31489 0 0 0 4189 0 8449 0 222113 0 0 0 BRIAN DAY PHYSICIAN 180214 0 16761 0 20500 0 3604 0 446 0 221525 0 0 0 KEVIN BROWN SVP/CFO AS OF 2/27/23 178010 0 0 0 0 0 2713 0 2708 0 183431 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $4,002 INSURANCE OF $1,228 AND COUNTRY CLUB DUES OF $9,470. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION ON FORM W-2. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A DEFERRED COMPENSATION PLAN UNDER IRC SECTION 457(F) AND RECEIVED CONTRIBUTIONS AS LISTED BELOW: MICHAEL MCRAE - $38,500 BRIAN HEPPARD - $20,000 BOB BOURG - $15,000 PART I, LINE 7 MANAGEMENT INCENTIVE PAYMENTS ARE MADE TO CERTAIN INDIVIDUALS: 80% IS TIED TO KEY ORGANIZATIONAL GOALS. 20% IS TIED TO INDIVIDUAL PERFORMANCE VS. ORGANIZATIONAL GOALS. A MONROE COUNTY INDUSTRIAL DEV CORP 510188852 61075TUH9 2019-12-30 69470902 TO REFUND REV BOND, SERIES 2014 AND NEW FINANCING FOR CONSTRUCTION PROJECT 0 0 1 A 69470902 4251654 25454691 886704 38404616 486903 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 PATRICK BURKE BOARD MEMBER 236677 PATRICK BURKE IS MANAGING PRINCIPAL AT THE BURKE GROUP. ST. ANN'S ENGAGES THE BURKE GROUP FOR INVESTMENT AND RETIREMENT PLAN SERVICES. 0 ANNA LYNCH BOARD MEMBER 116337 ANNA LYNCH IS A CURRENT BOARD MEMBER AND MANAGING PARTNER OF UNDERBERG & KESSLER, LLP. ST ANN'S ENGAGES UNDERBERG AND KESSLER FOR LEGAL SERVICES. 0 MICHELLE ASHBY BOARD MEMBER 200794 MICHELLE ASHBY IS A CURRENT BOARD MEMBER AND PRESIDENT/CEO OF TIPPING POINT MEDIA. ST ANN'S ENGAGES TIPPING POINT MEDIA FOR MARKETING CONSULTING. 0 MAURICIO RIVEROS BOARD MEMBER 2013143 MAURICIO IS A CURRENT BOARD MEMBER AND PRESIDENT/CEO OF THE PIKE GROUP, WHO OWNS LECESSE CONSTRUCTION. ST ANN'S ENGAGES LECESSE CONSTRUCTION FOR CONSTRUCTION PROJECTS. 0 FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION FOR THE REPORT IS PREPARED BY ST ANN'S STAFF, PROVIDED AND REVIEWED BY THE BONADIO GROUP. FINAL REPORTS ARE REVIEWED BY THE ST. ANN'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, AND PROVIDED TO CEO AND BOARD MEMBERS PRIOR TO REVIEW AT THE BOARD MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT A SUBSEQUENT BOARD MEETING AT WHICH TIME THE REPORTS ARE APPROVED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS (INCLUDING THE PRESIDENT AND CEO) ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE FORMS ARE THEN REVIEWED BY THE VP OF ORGANIZATIONAL DEVELOPMENT AND ANY POTENTIAL CONFLICTS ARE DEALT WITH AS NEEDED INCLUDING ABSTAINING FROM VOTING ON MATTERS RELATED TO SUCH CONFLICTS. ANY PERSON COVERED BY THE POLICY SHALL NOT KNOWINGLY USE HIS OR HER POSITION FOR PERSONAL GAIN, TO COMPROMISE ST. ANN'S INTERESTS, OR TO ALLOW A CONFLICT TO ARISE BETWEEN ST. ANN'S INTEREST AND HIS OR HER PERSONAL INTEREST. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR AN INDEPENDENT WAGE STUDY IS CONDUCTED BY A CONSULTANT. DIRECTORS AND ABOVE, EXCEPT CEO, ARE REVIEWED BY VP OR HR AND CEO WITH ADJUSTMENTS MADE TO MAINTAIN COMPETITIVENESS. CEO DATA IS REVIEWED BY A COMMITTEE INCLUDING THE BOARD CHAIR, PAST BOARD CHAIR AND HR BOARD CHAIR. ADJUSTMENTS MADE AS NEEDED TO MAINTAIN MARKET COMPETITIVENESS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: ALL OFFICERS AND EMPLOYEES REPORTED ON PART VII ARE FULL TIME EMPLOYEES OF THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOR THE AGED ("SAH") AND RELATED ORGANIZATIONS) WORKING AN AVERAGE OF 40 HOURS PER WEEK. HOURS REPORTED IN COLUMN B OF PART VII ARE THE AVERAGE HOURS RELATED TO WORK PERFORMED FOR SAH. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 2,277,072. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 128,131. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 52,676. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 58,236. NONOPERATING CONTRIBUTION 0. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. SCHEDULE K, PART II, LINE 1 CORRECTION OF AN ERROR: NOTE THAT THE FILING ORGANIZATION ERRONEOUSLY INCLUDED AN AMOUNT ON THIS LINE FOR AMOUNT OF BONDS RETIRED. NONE OF THE BONDS THAT WERE A PART OF THIS ISSUE HAVE BEEN RETIRED. THIS HAS BEEN CORRECTED ON THE CURRENT YEAR'S RETURN. ST ANN'S FOUNDATION INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161379536 HEALTH CARE NY 501(C)(3) LINE 12A, I ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S NURSING HOME COMPANY INC DBA THE HERITAGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 237098164 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 PARENT COMPANY PROVIDING SUPPORT TO ST. ANN'S COMMUNITY NY 501(C)(3) LINE 12B, II N/A 0 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S GREENS OF LEROY INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 852951380 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1