2022-01-13T08:51:29-06:00 2021-06-30 232108173 RKL LLP 1330 BROADCASTING ROAD WYOMISSING PA 196106008 990 2020-07-01 231500399 ST ANNE'S RETIREMENT COMMUNITYINC STAN 7172855443 3952 COLUMBIA AVENUE COLUMBIA PA 175129715 MARY TURNBAUGH PRESIDENT 7172855443 2021-12-21 1 MARY TURNBAUGH 999009999 STEPHANIE E KANE CPA P01275157 6103761595 2021-12-21 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARY TURNBAUGH 3952 COLUMBIA AVENUE COLUMBIA PA 175129715 31158632 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. 14 10 356 25 0 0 920444 3127913 19667880 18711248 263272 461394 -4733 -854 20846863 22299701 0 0 0 0 13045512 12300565 0 0 144304 8015934 9097641 21061446 21398206 -214583 901495 74802926 74974069 64134251 60900553 10668675 14073516 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 18823587 18711248 PATIENT ROOM & BOARD FEES: NURSING FACILITY - 119 BEDS (28,394 RESIDENT DAYS), PERSONAL CARE UNIT - 51 UNITS (16,970 RESIDENT DAYS), INDEPENDENT LIVING COTTAGES - 44 UNITS (18,926 RESIDENT DAYS), APARTMENTS - 119 UNITS (44,197 RESIDENT DAYS) 18823587 1 1 0 0 0 0 1 0 1 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 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 23 0 1 356 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 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 MARY TURNBAUGH PRESIDENT 40.00 0.00 X 211332 0 8229 MICHELE J BARD CFO 40.00 0.00 X 158373 0 8142 GERALDINE TYMON THERAPY-PHYSICAL 40.00 0.00 X 113407 0 5883 LORI ANDERSON RN MANAGER 40.00 0.00 X 114932 0 14005 LISA HOLLYWOOD NURSING ADMIN 40.00 0.00 X 118391 0 14147 CHRISTOPHER OBERG VP OF HR 40.00 0.00 X 114907 0 13978 BRANDI L GAMBLER EMPLOYEE 40.00 0.00 X 108325 0 13666 939667 0 78050 7 0 1 0 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 191827276 DIETARY CONSULT 271941 1 47862 2842230 237821 500 3127913 NURSING 623000 11105371 11105371 APARTMENTS 623000 3542744 3542744 PERSONAL CARE 623000 3024503 3024503 RETIREMENT VILLAGE 623000 832143 832143 OTHER SERVICE FEES & INCOME 623000 206487 206487 18711248 225066 225066 9083298 850 8847820 0 235478 850 236328 236328 10257 47862 11111 -854 -854 22299701 18711248 0 460540 581074 581074 9081519 8395265 592218 94036 232805 211413 16709 4683 1711660 1411936 291736 7988 693507 617224 69210 7073 9736 9736 39613 39613 29443 29443 688210 644226 43984 139925 9949 129976 1654830 1538982 106253 9595 89384 59381 30003 984860 942905 41955 9858 9752 76 30 11990 10523 1467 2001592 1916324 85268 1940712 1858038 82674 179015 172013 7002 FOOD EXPENSE 785364 752539 32825 ADMINISTRATION OTHER 360472 100480 239093 20899 PATIENT MEDICATION 128271 128271 ANCILLARY SERVICES 44366 44366 21398206 18823587 2430315 144304 9424 9424 3599790 1234469 43845 36645 886366 653432 16427 18768 504202 129526 80505943 26218342 45092641 54287601 9145711 11784876 14245437 5436214 100000 100000 1159083 1283114 74802926 74974069 2424293 1511057 3985266 4951260 55380360 54394473 30363 43763 2248969 0 65000 0 64134251 60900553 X 9660336 12944702 1008339 1128814 10668675 14073516 74802926 74974069 X 901495 2379390 123956 X X 0 1 X 1 1 1 X 494534 359034 142515 259942 285183 1541208 16680912 17028401 18716797 19667879 18711247 90805236 45096 10372 10257 65725 17175446 17387435 18904408 19938193 19006687 92412169 2352 2625 1200 3600 1500 11277 0 2352 2625 1200 3600 1500 11277 92400892 405446 303671 301703 217255 225066 1453141 405446 303671 301703 217255 225066 1453141 17580892 17691106 19206111 20155448 19231753 93865310 0.98440 0.98340 0.01550 0.01650 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: COVID RELIEF REVENUE AMOUNT: 593261. DESCRIPTION: PPP FUNDS AMOUNT: 2248969. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 9.00 0 0 1 0 0.00 0 1 0 1 X 309610 309610 968813 659203 309610 1014038 30767 -8350 67642 968813 1015415 110772 -395 111754 1014038 1052344 24876 26463 88268 1015415 0.00000 0.00000 1.00000 1 1 1 3146499 3146499 68065893 19287228 48778665 9068509 6931114 2137395 225042 225042 54287601 OTHER INVESTMENTS 5436214 C 5436214 X 24784717 2379390 135067 2514457 22270260 29441 29441 22299701 21379876 11111 11111 21368765 29441 29441 21398206 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, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 11,111. CHANGE IN VALUE OF THIRD-PARTY TRUST 123,956. PART XII, LINE 2D - OTHER ADJUSTMENTS: MAJOR EVENT EXPENSE 11,111. HARVEST FEST 45159 45159 0 0 0 4075 GOLF OUTING 12960 2703 10257 1000 4345 0 1691 58119 47862 10257 1000 4345 5766 11111 -854 X X 0 0 0 0 0 0 0 0 0 MARY TURNBAUGH PRESIDENT 211332 0 0 0 0 0 8229 0 0 0 219561 0 0 0 MICHELE J BARD CFO 158373 0 0 0 0 0 6178 0 1964 0 166515 0 0 0 A LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045D34 2012-10-01 21278666 PAY OFF 1999 BONDS 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045V75 2020-03-01 41480658 REFUNDING 2017 NOTE AND CAPITAL PROJECT 0 0 0 A 6857442 21278666 425573 5044057 15809036 2018 1 0 1 1 B 421935 41480658 329742 23937524 17213392 2050 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 PART II, LINE 3: TOTAL PROCEEDS OF ISSUE AS OF JUNE 30, 2019 WERE $23,048,308. THIS AMOUNT DOES NOT MATCH ISSUE PRICE REPORTED IN PART I, COLUMN (E) OF $36,000,000 DUE TO THE FACT THAT PROCEEDS SHALL BE ADVANCED TO ST. ANNE'S RETIREMENT COMMUNITY, INC. IN ACCORDANCE WITH THE PROJECT FINANCING AGREEMENT ASSOCIATED WITH THIS BOND ISSUE TO FUND THE CONSTRUCTION PROJECT. PART IV, LINE 2C: THE REBATE COMPUTATION WAS PERFORMED ON 11/3/17. 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 TRUS 123,956. 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 ST JOSEPH'S VILLA 927 SEVENTH STREET DAVID CITY NE 68632 470490837 LTC NE 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