2023-11-15T10:35:14-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 KEVIN BROWN CFO & SENIOR VICE PRESIDENT 5856976307 2023-11-15 1 KEVIN BROWN 999009999 1 RICHARD LEICHT P01378913 5853811000 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN BROWN 1500 PORTLAND AVE ROCHESTER NY 14621 62328303 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 21 17 1526 96 3481 39961 8546362 7820748 43656072 47755704 1041704 1781596 3108847 2743380 56352985 60101428 67397 0 0 0 40246089 45285334 0 0 0 21747723 23453563 62061209 68738897 -5708224 -8637469 128282836 119563076 118620546 115764696 9662290 3798380 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 470 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 57269679 47755704 ST. ANN'S HOME FOR THE AGED (ST. ANN'S HOME) IS A 470 BED LICENSED SKILLED NURSING FACILITY THAT INCLUDED THESE SERVICES DURING THE 2021 FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 110,377 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 10,658 DAYS OF CARE. 57269679 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 63 0 1 1526 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 21 17 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 JOSEPH STANKAITIS DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 33.00 7.00 X X 480597 0 24746 BRIDGETTE WIEFLING MD DIRECTOR 1.00 X 0 0 0 JAMES SMITH DIRECTOR 1.00 X 0 0 0 DENNIS KANT SVP/CFO 20.00 20.00 X 283802 0 23010 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 31.00 9.00 X 244450 0 9302 SUSAN MURTY VP ADMINISTRATOR 34.00 6.00 X 248220 0 23007 KIM PETRONE CHIEF MEDICAL OFFICER 35.00 5.00 X 401405 0 21915 EILEEN RYAN-MARUKE VP OF MARKETING 32.00 8.00 X 197966 0 21523 AARON FIELDS CHIEF INFORMATION OFFICER 31.00 9.00 X 187143 0 13185 CYNTHIA ANNE LOVETRO DIRECTOR OF NURSING 40.00 X 224396 0 10792 SABRINA MCLEOD FINANCE DIRECTOR 33.00 7.00 X 163166 0 5771 BRIAN L HEPPARD ATTENDING PHYSICIAN 20.00 20.00 X 332409 0 24746 JENNIFER BLACKCHIEF VP STRATEGY AND HOUSING 0.00 40.00 X 229039 0 8394 BRIAN DAY PHYSICIAN 40.00 X 263002 0 8887 KRUPA SHAH PHYSICIAN 40.00 X 234402 0 22642 AMADU JALLOH NURSING SUPERVISOR 40.00 X 221975 0 10616 3711972 0 228536 54 0 1 0 SELECT REHABILITATION LLC 2600 COMPASS RD GLENVIEW IL 60026 AGENCY STAFF 1301295 MEDICAL STAFFING NETWORKASSIGNMENT AMER 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 AGENCY STAFF 311861 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD SUITE 300 CINCINNATI OH 45212 AGENCY STAFF 212738 BURKE GROUP 80 LINDEN OAKS DRIVE SUITE 210 ROCHESTER NY 14625 FINACIAL ADVISOR 197700 STRONG MEDICAL PARTNERS LLC 4039 GENESEE ST BUFFALO NY 14225 MEDICAL SUPPLIES 111323 5 5256766 1857936 706046 7820748 NET RESIDENT SERVICE REVENUE 623000 44139119 44139119 SUPPORT SERVICES 623000 3616585 3616585 47755704 1178581 1178581 116383 32487 83896 83896 83896 2797403 2194388 603015 603015 603015 73142 0 73142 73142 MANAGEMENT FEE 900099 1566344 1566344 MISCELLANEOUS 900099 957595 957595 MEAL REVENUE 900099 58922 58922 3481 3481 2586342 60101428 47755704 3481 4521495 822733 822733 36127131 30911033 5216098 2406983 2013602 393381 3265205 2731562 533643 2663282 2228014 435268 112414 112414 45850 45850 27409 27409 3240961 2754999 485962 91364 35857 55507 726180 487052 239128 1910523 1910523 1491827 1488200 3627 53230 18339 34891 1676179 1676179 4480172 4480172 811064 811064 OTHER EXPENSES 3707064 2614250 1092814 NYS ASSESSMENT 2320290 2320290 FOOD 1622509 1572449 50060 MEDICAL SUPPLIES 932543 922633 9910 203984 203984 68738897 57269679 11469218 0 5578256 350763 258529 266662 1726300 3750897 6109345 255505 242226 730574 1275880 116660837 39647192 67789191 77013645 19245244 14746364 2913466 3511915 27761174 14319976 128282836 119563076 28432070 19873902 125697 111839 63809070 63097973 3649836 4157967 22603873 28523015 118620546 115764696 X -2920692 -7155772 12582982 10954152 9662290 3798380 128282836 119563076 X -8637469 -3476135 6249694 X X 0 1 X 1 1 1 X 1817457 4656884 5733441 8546362 7820748 28574892 55276305 53725914 43154544 43714930 47755704 243627397 57093762 58382798 48887985 52261292 55576452 272202289 0 0 0 272202289 701823 721104 538609 686419 1178581 3826536 701823 721104 538609 686419 1178581 3826536 1337105 1059552 1362950 3050027 2586342 9395976 59132690 60163454 50789544 55997738 59341375 285424801 0.95370 0.95980 0.01340 0.01190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10484115 -1372173 9111942 9175586 1308529 10484115 8415881 759705 9175586 7158271 1257610 8415881 7657178 -498907 7158271 0.08250 0.91750 0 0 1230549 1230549 91389250 25365417 66023833 23242211 13881225 9360986 798827 400550 398277 77013645 BENEFICIAL INTEREST - ST. ANN'S FOUNDATION 383129 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 380024 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1079057 BOND FUND 2269878 CAPITAL INTEREST FUND 1 DEBT SERVICE RESERVE 4313978 DUE FROM AFFILIATES 1933527 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 1625422 DUE FROM THIRD PARTY PAYORS 38125 PROJECT FUND 1306502 RIGHT OF USE ASSET 990333 14319976 DEFERRED COMPENSATION 840939 DUE TO AFFILIATES 27186700 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 363849 OPERATING LEASE - CURRENT AND LONG TERM 131527 28523015 59307653 -3476135 6266458 2790323 56517330 3584098 3584098 60101428 65174092 -3584098 -3584098 68758190 27409 -46702 -19293 68738897 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 6,550,524. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -343,854. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -95,177. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 182,374. INVESTMENT EXPENSES -27,409. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -32,487. SUPPORT SERVICES 3,616,585. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 32,487. PAYMENTS FROM AFFILIATES -3,616,585. PART XII, LINE 4B - OTHER ADJUSTMENTS: SISTERS OF ST. JOSEPH CONTRIBUTION -27,500. LOSS ON SALE OF EQUIPMENT -16,673. OTHER CONTRIBUTION EXPENSE -2,529. X X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 368308 0 86400 0 25889 0 9150 0 15596 0 505343 0 0 0 KIM PETRONE CHIEF MEDICAL OFFICER 325396 0 61009 0 15000 0 9150 0 12765 0 423320 0 0 0 BRIAN L HEPPARD ATTENDING PHYSICIAN 308009 0 24400 0 0 0 9150 0 15596 0 357155 0 0 0 DENNIS KANT SVP/CFO 237394 0 46408 0 0 0 8528 0 14482 0 306812 0 0 0 BRIAN DAY PHYSICIAN 222002 0 23500 0 17500 0 7379 0 1508 0 271889 0 0 0 SUSAN MURTY VP ADMINISTRATOR 207791 0 40429 0 0 0 7447 0 15560 0 271227 0 0 0 KRUPA SHAH PHYSICIAN 194467 0 21356 0 18579 0 7046 0 15596 0 257044 0 0 0 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 204666 0 39784 0 0 0 7348 0 1954 0 253752 0 0 0 JENNIFER BLACKCHIEF VP STRATEGY AND HOUSING 191444 0 37595 0 0 0 6886 0 1508 0 237433 0 0 0 CYNTHIA ANNE LOVETRO DIRECTOR OF NURSING 187633 0 36763 0 0 0 6746 0 4046 0 235188 0 0 0 AMADU JALLOH NURSING SUPERVISOR 219475 0 2500 0 0 0 6659 0 3957 0 232591 0 0 0 EILEEN RYAN-MARUKE VP OF MARKETING 165472 0 32494 0 0 0 5953 0 15570 0 219489 0 0 0 AARON FIELDS CHIEF INFORMATION OFFICER 156541 0 30602 0 0 0 5629 0 7556 0 200328 0 0 0 SABRINA MCLEOD FINANCE DIRECTOR 145663 0 17503 0 0 0 0 0 5771 0 168937 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $5,297 INSURANCE OF $2,320 AND COUNTRY CLUB DUES OF $1,387. 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 MICHAEL MCRAE - $45,000 BRAIN HEPPARD - $20,000 PART I, LINE 7 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 1389601 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 MICHELLE ASHBY BOARD MEMBER 115161 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 ANNA LYNCH BOARD MEMBER 102841 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 MAURICIO RIVEROS BOARD MEMBER 9360260 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 6,550,524. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -343,854. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -95,177. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 182,374. NONOPERATING CONTRIBUTION -44,173. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. 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