2023-11-15T16:25:20-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 237098164 ST ANN'S NURSING HOME COMPANY INC STAN 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 KEVIN BROWN SENIOR VICE PRESIDENT & CFO 5856976307 2023-11-15 1 KEVIN BROWN 999009999 1 RICHARD LEICHT P01378913 5853811000 2023-11-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE HERITAGE KEVIN BROWN 1500 PORTLAND AVE ROCHESTER NY 14621 14645950 0 X WWW.STANNSCOMMUNITY.COM X 1971 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 21 20 0 33 0 0 1294013 100778 12700348 12172548 710260 784451 116375 43115 14820996 13100892 0 0 0 0 4742569 4880074 0 0 0 6322683 6972712 11065252 11852786 3755744 1248106 44916835 43161909 18115188 16914399 26801647 26247510 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. TO FULFILL THIS MISSION, ST. ANN'S COMMUNITY OFFERS A CONTINUUM OF SERVICES FOR SENIORS IN THE GREATER ROCHESTER AREA. ST. ANN'S COMMUNITY OTHERWISE KNOWN AS ST. ANN'S OF GREATER ROCHESTER, INC. DELIVERS THESE SERVICES 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 NURSING HOME COMPANY, INC. (THE HERITAGE) IS A NONPROFIT CORPORATION THAT OPERATES ST. ANN'S CARE CENTER AT CHERRY RIDGE, A 72-BED RESIDENTIAL HEALTH CARE FACILITY, PROVIDING INPATIENT POST-ACUTE REHABILITATION CARE AND PALLIATIVE CARE. 0 0 10528966 12172548 ST. ANN'S NURSING HOME COMPANY, INC. (THE HERITAGE) IS A LICENSED SKILLED NURSING FACILITY THAT CURRENTLY OPERATES AS ST. ANN'S CARE CENTER AT CHERRY RIDGE. IT IS A 72-BED LICENSED FACILITY WITH 72 SKILLED NURSING BEDS. DURING 2022, THERE WERE 25,705 DAYS OF CARE FOR SKILLED NURSING. 10528966 1 1 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X KEVIN BROWN SENIOR VICE PRESIDENT & CFO 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 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 JOSEPH STANKAITIS DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 6.00 34.00 X X 0 480597 24746 DR BRIDGETTE WIEFLING DIRECTOR 1.00 X 0 0 0 JAMES SMITH DIRECTOR 1.00 X 0 0 0 DENNIS KANT SVP/CFO 3.00 37.00 X 0 283802 23010 KIM PETRONE CHIEF MEDICAL OFFICER 5.00 35.00 X 0 401405 21915 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 4.00 36.00 X 0 244450 9302 EILEEN RYAN-MARUKE VP OF MARKETING 2.00 38.00 X 0 197966 21523 AARON FIELDS CHIEF INFORMATION OFFICER 4.00 36.00 X 0 187143 13185 SABRINA MCLEOD FINANCE DIRECTOR 3.00 37.00 X 0 163166 5771 BRIAN HEPPARD ATTENDING PHYSICIAN 4.00 36.00 X 0 332449 24746 0 2290978 144198 0 0 1 0 NORTON AND ASSOCIATES INC 34 ELM STREET COHASSET MA 02025 AGENCY STAFF 669947 SELECT REHABILITATION LLC 2600 COMPASS ROAD GLENVIEW IL 60026 AGENCY STAFF 211165 QUEST DIAGNOSTICS 12845 BROADWAY ST ALDEN NY 14004 COVID TESTS 190700 MEDCOR STAFFING INC 1807 ELMWOOD AVENUE BUFFALO NY 14207 AGENCY STAFF 140316 MCKESSON MEDICAL 8741 LANDMARK RD RICHMOND VA 23228 MEDICAL SUPPLIES 125651 5 97969 2809 100778 NET RESIDENT SERVICE REVENUE 623000 12172548 12172548 12172548 340410 340410 1989099 1545058 444041 444041 444041 MISCELLANEOUS 900099 43115 43115 43115 13100892 12172548 0 827566 X 3959014 3870058 88956 627355 613259 14096 293705 287106 6599 15300 15300 1198199 1168159 30040 28277 28277 17637 16737 900 38317 38317 209356 209356 2312 2312 679306 679306 910644 910644 159779 159779 INTERCOMPANY SUPPORT AL 2557643 1466963 1090680 NYS ASSESSMENT 811207 811207 MEDICAL SUPPLIES 171460 171460 OTHER EXPENSES 169531 158876 10655 3744 3744 11852786 10528966 1323820 0 916009 1019904 57468 46352 504673 495576 4298 110242 19223007 11994324 8016178 7228683 12928494 9821251 22489715 24439901 44916835 43161909 2801235 1803835 15151712 14982062 162241 128502 18115188 16914399 X 26157839 25766207 643808 481303 26801647 26247510 44916835 43161909 X 1248106 -2486978 -19489 704224 X X 0 1 X 1 0 X 12089 5824 107484 1294013 100778 1520188 11313492 11291228 11398355 12700348 12172548 58875971 11325581 11297052 11505839 13994361 12273326 60396159 0 0 0 60396159 416094 450069 293270 388757 340410 1888600 416094 450069 293270 388757 340410 1888600 19304 13581 28806 116222 43115 221028 11760979 11760702 11827915 14499340 12656851 62505787 0.96620 0.96360 0.03020 0.03290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9341730 4941171 4400559 9608079 6896140 2711939 273198 157013 116185 7228683 BENEFICIAL INTEREST IN REMAINDER TRUSTS 451034 BOND FUND RESERVE 512119 DEBT SERVICE RESERVE FUND 973298 DUE FROM RELATED PARTIES 21436512 ESTIMATED THIRD-PARTY PAYORS 57393 INTEREST IN NET ASSETS OF FOUNDATION 30269 RELATED PARTY LOAN RECEIVABLE 979276 24439901 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 128502 128502 11298649 -2486978 704224 -1782754 13081403 19489 19489 13100892 11852786 0 11852786 0 11852786 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -32,061. CHANGE IN NET ASSETS OF FOUNDATION -130,444. PENSION LIABILITY ADJUSTMENT 866,729. 0 1 0 0 0 0 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 0 368308 0 86400 0 25889 0 9150 0 15596 0 505343 0 0 KIM PETRONE CHIEF MEDICAL OFFICER 0 325396 0 61009 0 15000 0 9150 0 12765 0 423320 0 0 BRIAN HEPPARD ATTENDING PHYSICIAN 0 308009 0 24440 0 0 0 9150 0 15596 0 357195 0 0 DENNIS KANT SVP/CFO 0 237394 0 46408 0 0 0 8528 0 14482 0 306812 0 0 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 0 204666 0 39784 0 0 0 7348 0 1954 0 253752 0 0 EILEEN RYAN-MARUKE VP OF MARKETING 0 165472 0 32494 0 0 0 5953 0 15570 0 219489 0 0 AARON FIELDS CHIEF INFORMATION OFFICER 0 156541 0 30602 0 0 0 5629 0 7556 0 200328 0 0 SABRINA MCLEOD FINANCE DIRECTOR 0 145663 0 17503 0 0 0 0 0 5771 0 168937 0 0 PART I, LINE 4B MICHAEL MCRAE - $45,000 A MONROE COUNTY INDUSTRIAL DEV CORP 510188852 61075TUH9 2019-12-30 15666763 TO REFUND REV BOND, SERIES 2014 0 0 1 A 313515 15666763 973298 14510555 200054 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 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 C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,168,159. MANAGEMENT AND GENERAL EXPENSES 30,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,198,199. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -130,444. PENSION LIABILITY ADJUSTMENT 866,729. CHANGE IN NET ASSETS OF FOUNDATION -32,061. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. FORM 990, PART V, LINE 2A: ALL INDIVIDUALS WORKING AT ST. ANN'S NURSING HOME COMPANY, INC. D/B/A THE HERITAGE ("THE HERITAGE") ARE EMPLOYEES OF ST. ANN'S HOME FOR THE AGED ("SAH") AND ARE REPORTED ON ITS FORM 941 UNDER EIN 16-0743146. THE SALARY AND BENEFITS EXPENSES REPORTED ON FORM 990, PART IX ARE THE HERITAGE'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT BY THE SHARED EMPLOYEES. SAH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. 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 HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 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 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 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 PARENT CORPORATION PROVIDING SUPPORT FOR ST. ANN'S COMMUNITY NY 501(C)(3) LINE 12B, II N/A 0 ST ANN'S GREENS OF LEROY 1500 PORTLAND AVENUE ROCHESTER NY 14621 852951380 INDEPENDENT SENIOR LIVING NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0