2022-11-08T15:12:58-06:00 2021-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2021-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2022-11-08 1 DENNIS KANT XXX-XX-XXXX AMANDA L DELLA SALA P02064655 5853811000 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DENNIS KANT 1500 PORTLAND AVE ROCHESTER NY 14621 58503062 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 24 18 1488 44 5312 4312 5733441 8546362 43149408 43656072 760997 1041704 2603240 3108847 52247086 56352985 0 67397 0 0 41922398 40246089 0 0 0 24243668 21747723 66166066 62061209 -13918980 -5708224 123440655 128282836 121723337 118620546 1717318 9662290 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 51027365 45849962 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 106,535 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 6,280 DAYS OF CARE. 67397 67397 CONTRIBUTION TO RELATED PARTY 67397 67397 51094762 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 1 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 1488 1 1 1 0 0 0 0 0 0 0 0 0 X 24 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DENNIS KANT SENIOR VICE PRESIDENT & CFO 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 CRAIG BURTON DIRECTOR 1.00 X 0 0 0 THOMAS COMBS DIRECTOR 1.00 X 0 0 0 MARK CRONIN DIRECTOR 1.00 X 0 0 0 MELISSA GARDNER DIRECTOR 1.00 X 0 0 0 JOHN HAYES BOARD CHAIR ELECT 1.00 X X 0 0 0 CARMEN INDIANO DIRECTOR 1.00 X 0 0 0 JAMES LEO TREASURER 1.00 X X 0 0 0 NICOLE MARRO 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 CHAIR 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 471752 0 22223 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 272723 0 20191 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 31.00 9.00 X 233867 0 8524 SUSAN MURTY VP ADMINISTRATOR 34.00 6.00 X 237651 0 19617 KIM PETRONE CHIEF MEDICAL OFFICER 35.00 5.00 X 387027 0 19663 EILEEN RYAN-MARUKE VP OF MARKETING 32.00 8.00 X 191103 0 19220 AARON FIELDS CHIEF INFORMATION OFFICER 31.00 9.00 X 158906 0 12436 CYNTHIA ANNE LOVETRO CHIEF NURSING OFFICER 40.00 0.00 X 187423 0 11909 SABRINA MCLEOD FINANCE DIRECTOR 33.00 7.00 X 160888 0 11076 BRIAN L HEPPARD ATTENDING PHYSICIAN 20.00 20.00 X 314405 0 21692 WILLIAM ROBINSON ASSISTANT ADMINISTRATOR 35.00 5.00 X 135349 0 17436 2751094 0 183987 11 0 1 0 LECESSE CONSTRUCTION CO 75 THRUWAY PARK DRIVE WEST HENRIETTA NY 14586 CONSTRUCTION CONTRACTOR 10522498 CARDINAL HEALTH PHARMACY 5303 COLLECTIONS CENTER DR CHICAGO IL 60693 PHARMACEUTICALS 1252718 US FOODSERVICE PO BOX 644547 PITTSBURGH PA 15264 FOOD AND BEVERAGE 890519 PROLINK HEALTHCARE LLC 4600 MONTGOMERY RD SUITE 300 CINCINNATI OH 45212 AGENCY STAFF 742647 SELECT REHABILITATION LLC 2600 COMPASS RD GLENVIEW IL 60026 AGENCY STAFF 719237 32 4380204 4064665 101493 8546362 NET RESIDENT SERVICE REVENUE 623000 40333783 40333783 SUPPORT SERVICES 623000 3322289 3322289 43656072 589552 589552 96867 0 96867 96867 96867 2591015 2138863 452152 452152 452152 58858 11214 47644 47644 MANAGEMENT FEE 900099 2193890 2193890 MISCELLANEOUS 900099 632784 632784 MEAL REVENUE 900099 223349 223349 -85687 5312 -90999 2964336 56352985 45849962 5312 1951349 67397 67397 814316 814316 31749948 26505650 5244298 2257833 1837761 420072 3138191 2554327 583864 2285801 1860525 425276 93997 93997 33650 33650 31700 31700 2814535 2313772 500763 50184 7040 43144 455046 264730 190316 2217105 2217105 1270330 1259129 11201 35325 16369 18956 1264020 1264020 4729696 4729696 864837 864837 OTHER EXPENSES 3532977 3247004 285973 NYS ASSESSMENT 2043019 2043019 FOOD 1369771 1326582 43189 MEDICAL SUPPLIES 941531 932904 8627 62061209 51094762 10966447 0 1919095 5578256 255728 258529 3999244 3750897 329871 255505 668954 730574 102974955 35185764 57305599 67789191 17854555 19245244 3037701 2913466 38069908 27761174 123440655 128282836 37627631 28432070 104805 125697 64487574 63809070 4048114 3649836 15455213 22603873 121723337 118620546 X -9402020 -2920692 11119338 12582982 1717318 9662290 123440655 128282836 X -5708224 1454175 12199021 X X 0 1 X 1 1 1 X 514006 1817457 4656884 5733441 8546362 21268150 61117173 55276305 53725914 43154544 43714930 256988866 61631179 57093762 58382798 48887985 52261292 278257016 0 0 0 278257016 798923 701823 721104 538609 686419 3446878 798923 701823 721104 538609 686419 3446878 1395945 1337105 1059552 1362950 3050027 8205579 63826047 59132690 60163454 50789544 55997738 289909473 0.95980 0.96790 0.01190 0.01140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9175586 1308529 10484115 8415881 759705 9175586 7158271 1257610 8415881 7657178 -498907 7158271 6576241 1080937 7657178 0.07220 0.92780 0 0 1230549 1230549 64041189 22788990 41252199 21348909 12024378 9324531 16354308 372396 15981912 67789191 BENEFICIAL INTEREST - ST. ANN'S FOUNDATION 200755 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 475201 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1422911 BOND FUND 1314790 CAPITAL INTEREST FUND 1462039 DEBT SERVICE RESERVE 4252084 DUE FROM AFFILIATES 2188300 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 3593089 DUE FROM THIRD PARTY PAYORS 1738081 PROJECT FUND 10759313 RIGHT OF USE ASSET 354611 27761174 ASSET RETIREMENT OBLIGATION 7315 DEFERRED COMPENSATION 971124 DUE TO AFFILIATES 21311130 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 314304 22603873 66693929 1454175 12229544 13683719 53010210 31700 3311075 3342775 56352985 58748957 -3311075 -3311075 62060032 31700 -30523 1177 62061209 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 12,074,429. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 115,111. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 36,337. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 3,667. CHANGE IN JOINT VENTURE INVESTMENT PART XI, LINE 4B - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES -11,214. SUPPORT SERVICES 3,322,289. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 11,214. PAYMENTS FROM AFFILIATES -3,322,289. PART XII, LINE 4B - OTHER ADJUSTMENTS: SISTERS OF ST. JOSEPH CONTRIBUTION -30,523. 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 67397 0 CASH DIRECT SUPPORT TO RELATED PARTY 1 PART I, LINE 2: HOME STAFF MONITOR GRANT AND PROJECT EXPENDITURES AGAINST BUDGET AND AS APPROPRIATE SECURE PROJECT EVALUATIONS ALL TO ENSURE THAT FUNDS PROVIDED FULFILL THE DONOR RESTRICTIONS AND OR OTHER REQUIREMENTS FOR THE GRANT. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 345374 0 102935 0 23443 0 8700 0 13523 0 493975 0 0 0 KIM PETRONE CHIEF MEDICAL OFFICER 315953 0 56074 0 15000 0 8700 0 10963 0 406690 0 0 0 BRIAN L HEPPARD ATTENDING PHYSICIAN 292897 0 21508 0 0 0 8700 0 12992 0 336097 0 0 0 DENNIS KANT SVP/CFO 230069 0 42654 0 0 0 8182 0 12009 0 292914 0 0 0 SUSAN MURTY VP ADMINISTRATOR 200492 0 37159 0 0 0 7130 0 12487 0 257268 0 0 0 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 197301 0 36566 0 0 0 7016 0 1508 0 242391 0 0 0 EILEEN RYAN-MARUKE VP OF MARKETING 161237 0 29866 0 0 0 5733 0 13487 0 210323 0 0 0 CYNTHIA ANNE LOVETRO CHIEF NURSING OFFICER 182355 0 5068 0 0 0 5623 0 6286 0 199332 0 0 0 SABRINA MCLEOD FINANCE DIRECTOR 144800 0 16088 0 0 0 4827 0 6249 0 171964 0 0 0 AARON FIELDS CHIEF INFORMATION OFFICER 151874 0 7032 0 0 0 4767 0 7669 0 171342 0 0 0 WILLIAM ROBINSON ASSISTANT ADMINISTRATOR 121775 0 13574 0 0 0 4060 0 13376 0 152785 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $3,016, INSURANCE OF $2,155 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 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 678504 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 OF ST. ANN'S COMMUNITY 82905 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 OF ST. ANN'S COMMUNITY 10522498 MAURICIO RIVEROS 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 NICOLE MARRO BOARD MEMBER OF ST. ANN'S COMMUNITY 86269 NICOLE MARRO IS A CURRENT BOARD MEMBER AND ATTORNEY WITH BOND SHOENECK & KING. ST. ANN'S ENGAGES BOND SHOENECK & KING FOR LEGAL SERVICES. 0 JOSEPH WESLEY BOARD MEMBER OF ST. ANN'S COMMUNITY 17448 JOSEPH WESLEY IS A CURRENT BOARD MEMBER AND DIRECTOR OF GOVERNMENT RELATIONS & STRATEGIC INTIATIVES WITH WEGMANS FOOD MARKETS WHO HANDLES MISC GOODS AND FOOD PURCHASES 0 ANNA LYNCH BOARD MEMBER OF ST. ANN'S COMMUNITY 3744 ANNA LYNCH IS A CURRENT BOARD MEMBER AND MANAGING PARTNER OF UNDERBERG & KESSLER LLP. ST. ANN'S ENGAGES UNDERBERG & KESSLER FOR LEGAL SERVICES. 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 12,074,429. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 115,111. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 36,337. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 3,667. NONOPERATING CONTRIBUTION -30,523. 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 HEALTH CARE 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 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1