2023-04-26T13:44:47-05:00 2022-06-30 232108173 RKL LLP 1330 BROADCASTING ROAD WYOMISSING PA 196106008 990 2021-07-01 231500399 ST ANNE'S RETIREMENT COMMUNITYINC STAN 7172855443 3952 COLUMBIA AVENUE COLUMBIA PA 175129715 MARY TURNBAUGH PRESIDENT 7172855443 2023-04-18 1 MARY TURNBAUGH 999009999 STEPHANIE E KANE CPA P01275157 6103761595 2023-04-18 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARY TURNBAUGH 3952 COLUMBIA AVENUE COLUMBIA PA 175129715 29248781 0 X WWW.STANNESRETIREMENTCOMMUNITY.COM X 1977 PA ST ANNE'S IS DEDICATED TO HEALING MINISTRY OF JESUS IN THE SPIRIT OF SAINT MARIA DEMATTIAS. 17 12 312 22 0 0 3127913 734691 18711248 18116638 461394 1264000 -854 3135 22299701 20118464 0 0 0 0 12300565 12748514 0 0 145454 9097641 9582156 21398206 22330670 901495 -2212206 74974069 69711462 60900553 60132440 14073516 9579022 SAINT ANNE'S RETIREMENT COMMUNITY, SPONSORED BY THE ADORERS OF THE BLOOD OF CHRIST, IS DEDICATED TO CONTINUING THE HEALING MINISTRY OF JESUS IN THE SPIRIT OF SAINT MARIA DEMATTIAS. 0 0 19757317 18116638 PATIENT ROOM & BOARD FEES: NURSING FACILITY - 119 BEDS (25,691 RESIDENT DAYS), PERSONAL CARE UNIT - 51 UNITS (16,566 RESIDENT DAYS), INDEPENDENT LIVING COTTAGES - 44 UNITS (15,452 RESIDENT DAYS), APARTMENTS - 119 UNITS (38,734 RESIDENT DAYS) 19757317 1 1 0 0 0 0 1 0 1 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 27 0 1 312 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ST ANNES RETIREMENT COMMUNITY INC 7172855443 3952 COLUMBIA AVENUE COLUMBIA PA 175129715 STEPHEN RILEY CHAIR 1.00 0.00 X X 0 0 0 JOHN MARKEL ESQ VICE CHAIR 1.00 0.00 X X 0 0 0 DR MARIBETH LEBRETON SECRETARY 1.00 0.00 X X 0 0 0 WILLIAM KIELY TREASURER 1.00 0.00 X X 0 0 0 SR JOAN HORNICK ASC TRUSTEE 1.00 24.00 X 0 0 0 SR FRAN SCHUMER ASC TRUSTEE 1.00 10.00 X 0 0 0 MARY ELLEN GLAH GENOESE TRUSTEE 1.00 0.00 X 0 0 0 JUDGE JEFFREY REICH TRUSTEE 1.00 0.00 X 0 0 0 SR MIRIAM THERESE RAU ASC TRUSTEE 1.00 30.00 X 0 0 0 DR JEFFREY KIRCHNER TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY FUNK TRUSTEE 1.00 0.00 X 0 0 0 SR MARIA LOUISE HUGHES ASC TRUSTEE 1.00 40.00 X 0 0 0 THERESA BACHMAN TRUSTEE 1.00 0.00 X 0 0 0 JAMES KENDIG TRUSTEE 1.00 0.00 X 0 0 0 SR MICHELLE WOODRUFF ASC TRUSTEE 1.00 40.00 X 0 0 0 MATT PATTERSON TRUSTEE 1.00 0.00 X 0 0 0 STEVYN CONWAY TRUSTEE 1.00 0.00 X 0 0 0 MARY TURNBAUGH PRESIDENT 40.00 0.00 X 205101 0 10219 MICHELE J BARD CFO 40.00 0.00 X 151984 0 21592 LORI ANDERSON RN MANAGER 36.00 0.00 X 120581 0 7774 LISA HOLLYWOOD NURSING ADMIN 40.00 0.00 X 116810 0 7506 GERALDINE TYMON THERAPY-PHYSICAL 40.00 0.00 X 111509 0 17443 BRANDI L GAMBLER THERAPY - OCCUPATIONAL 36.00 0.00 X 105029 0 6939 811014 0 71473 6 0 1 0 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 191827276 DIETARY CONSULTANTS 277426 1 4028 545527 185136 3200 734691 NURSING 623000 10016953 10016953 APARTMENTS 623000 3927381 3927381 PERSONAL CARE 623000 3001347 3001347 RETIREMENT VILLAGE 623000 930514 930514 OTHER SERVICE FEES & INCOME 623000 240443 240443 18116638 244707 244707 10143345 9107595 16457 1035750 -16457 1019293 1019293 9400 4028 6265 3135 3135 20118464 18116638 0 1267135 564560 564560 9433448 8732396 602797 98255 239696 222232 12386 5078 1757336 1438715 310364 8257 753474 646587 99490 7397 15913 15913 43211 43211 24857 24857 713840 682415 31425 143026 25347 117679 1436441 1334035 98946 3460 105333 71897 33436 932872 893132 39740 19665 19665 7402 5928 1474 2424289 2321014 103275 2167801 2075453 92348 222462 213729 8733 FOOD EXPENSE 793289 784388 8901 ADMINISTRATION OTHER 349398 108027 218364 23007 PATIENT MEDICATION 124761 124761 ANCILLARY SERVICES 57596 57596 22330670 19757317 2427899 145454 9424 11925 1234469 602220 36645 27095 653432 667510 18768 19280 129526 500482 79015224 25682102 54287601 53333122 11784876 9359027 5436214 4057150 100000 100000 1283114 1033651 74974069 69711462 1511057 1275358 4951260 5979754 54394473 52836678 43763 40650 60900553 60132440 X 12944702 8573131 1128814 1005891 14073516 9579022 74974069 69711462 X -2212206 -1891618 -390670 X X 0 1 X 1 0 X 359034 142515 259942 285183 185964 1232638 17028401 18716797 19667879 18711247 18116638 92240962 45096 10372 10257 9400 75125 17387435 18904408 19938193 19006687 18312002 93548725 2625 1200 3600 1500 5250 14175 0 2625 1200 3600 1500 5250 14175 93534550 303671 301703 217255 225066 244707 1292402 303671 301703 217255 225066 244707 1292402 17691106 19206111 20155448 19231753 18556709 94841127 0.98620 0.98440 0.01360 0.01550 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: COVID RELIEF REVENUE AMOUNT: 545527. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 9.00 0 0 0 1 0 0.00 0 1 0 1 X 309610 309610 309610 309610 968813 659203 309610 1014038 30767 -8350 67642 968813 1015415 110772 -395 111754 1014038 0.00000 0.00000 1.00000 1 1 1 3081058 3081058 68113633 20435041 47678592 7419649 5247061 2172588 400884 400884 53333122 OTHER INVESTMENTS 4057150 C 4057150 X 17817586 -1891618 -384403 -2276021 20093607 24857 24857 20118464 22312079 6266 6266 22305813 24857 24857 22330670 PART II, LINE 9: THERE WAS A NOMINAL AMOUNT OF EXPENSES THAT THE ORGANIZATION INCURRED FOR THE CONSERVATION EASEMENT WHICH WERE EXPENSED TO PROFESSIONAL FEES. THE PROPERTY AFFECTED BY THE CONSERVATION EASEMENT IS RECORDED IN PROPERTY, PLANT AND EQUIPMENT AS LAND IN THE BALANCE SHEET. THE CONSERVATION EASEMENT WAS NOT CONTRIBUTED TO THE ORGANIZATION. PART IV, LINE 2B: THE ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST FUNDS FOR CERTAIN RESIDENTS OF THE RETIREMENT COMMUNITY. PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR VARIOUS OPERATIONAL AND RESIDENTIAL RELATED EXPENSES. PART X, LINE 2: INCOME TAXES - THE CORPORATION IS A NOT-FOR-PROFIT ENTITY DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM INCOME TAXES ON RELATED ACTIVITIES PURSUANT TO 509(A) OF THE IRC. IN ADDITION, THE CORPORATION WAS ORGANIZED UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW AND IS EXEMPT FROM STATE INCOME TAXES. THE CORPORATION FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF FASB ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT THE CORPORATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 6,266. CHANGE IN VALUE OF THIRD-PARTY TRUST -134,200. LOSS ON DEBT EXTINGUISHMENT -256,469. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 6,266. X X 0 0 0 0 0 0 0 0 0 MARY TURNBAUGH PRESIDENT 205101 0 0 0 0 0 10219 0 0 0 215320 0 0 0 MICHELE J BARD CFO 151984 0 0 0 0 0 19325 0 2267 0 173576 0 0 0 A LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045V75 2020-03-01 41480658 REFUNDING 2017 NOTE AND CAPITAL PROJECT 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 NONEAVAIL 2022-04-07 13132320 BOND REFINANCE 0 0 0 A 1334627 41480658 329742 23937524 17213392 2020 1 0 1 1 B 441673 13132320 262646 12869674 2022 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 FORM 990, PART V, LINE 1C: THE ORGANIZATION DID NOT HAVE ANY INSTANCES WHERE BACKUP WITHHOLDING WAS REQUIRED; HOWEVER, IF THE SITUATION WOULD ARISE, THE ORGANIZATION IS AWARE OF THE REPORTING REQUIREMENTS AND WOULD HANDLE THAT ACCORDINGLY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ASC HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A ASC HEALTH HAS THE POWER TO APPOINT UP TO 4 MEMBERS OF THE BOARD OF TRUSTEES ACCORDING TO THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE BOARD OF TRUSTEES ARE CONTINGENT ON THE APPROVAL OF ASC HEALTH. FORM 990, PART VI, SECTION B, LINE 11B FINANCE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE 990 PRIOR TO FILING. THE FINANCE COMMITTEE CHAIR MAKES A RECOMMENDATION TO THE ENTIRE BOARD TO APPROVE THE 990. IN ADDITION, A SECURE LINK IS USED TO UPLOAD THE 990 TO THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C A DIRECTOR IS REQUIRED TO ANNUALLY, OR AT SUCH A TIME THAT A CONFLICT MAY ARISE, DISCLOSE THIS TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP MANAGEMENT OFFICIAL: THE ORGANIZATION USES LEADING AGE SALARY SURVEY DATA FOR CENTRAL PENNSYLVANIA, AS WELL AS APPROVAL FROM THE BOARD OF TRUSTEES IN DETERMINING COMPENSATION FOR THE PRESIDENT/ADMINISTATOR. COMPENSATION PROCESS FOR TOP FINANCIAL OFFICIAL: THE ORGANIZATION USES LEADING AGE SALARY SURVEY DATA FOR CENTRAL PENNSYLVANIA, AS WELL AS APPROVAL FROM THE BOARD OF TRUSTEES IN DETERMINING COMPENSATION FOR OTHER OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF THIRD-PARTY TRUST -134,200. LOSS ON DEBT EXTINGUISHMENT -256,470. FORM 990, PART XII, LINE 2C: NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT THIS YEAR. ADORERS OF THE BLOOD OF CHRIST 4233 SULPHUR AVENUE ST LOUIS MO 63109 371402562 RELIGIOUS MO 501(C)(3) LINE 1 N/A 0 ASC HEALTH 4233 SULPHUR AVENUE ST LOUIS MO 63109 371186930 OVERSIGHT MO 501(C)(3) LINE 1 ADORERS OF THE BLOOD OF CHRIST 0 VILLA MARIA 116 SOUTH CENTRAL AVENUE MULVANE KS 67110 237422471 LTC KS 501(C)(3) LINE 3 ASC HEALTH 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0