2022-11-08T15:12:58-06:00 2021-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2021-01-01 760705854 ST ANN'S SENIOR HOUSING INC STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2022-11-08 1 DENNIS KANT 999009999 AMANDA DELLA SALA P02064655 5853811000 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHERRY RIDGE DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 11488120 0 X WWW.CHERRYRIDGECOMMUNITY.COM X 2002 NY PROMOTE INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS THROUGH SENIOR HOUSING. 24 18 0 34 0 0 32339 1001917 9932038 9654288 25996 42532 287961 789383 10278334 11488120 0 1140 0 0 4208714 4353620 0 0 0 5219195 5132747 9427909 9487507 850425 2000613 36259972 34990884 40562212 38199066 -4302240 -3208182 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 SENIOR HOUSING INC. OPERATES AS CHERRY RIDGE OFFERING 55 INDEPENDENT LIVING COTTAGE UNITS, 78 INDEPENDENT LIVING APARTMENT UNITS, 75 ASSISTED LIVING SUITES; AND ASSISTED LIVING MEMORY CENTER (24 OF THE 75 UNITS). 0 0 8040344 9654288 ST. ANN'S SENIOR HOUSING, INC. OPERATES AS CHERRY RIDGE OFFERING 55 INDEPENDENT LIVING COTTAGE UNITS, 78 INDEPENDENT LIVING APARTMENT UNITS, 78 ASSISTED LIVING SUITES, AND ASSISTED LIVING MEMORY CENTER (24 OF THE 78 UNITS). DURING 2021, CHERRY RIDGE PROVIDED 68,520 DAYS OF HOUSING FOR SENIORS. AMONG ITS SUPPORT SERVICES ARE TRANSPORTATION, ON-SITE GERIATRIC PRIMARY CARE, AND PRIORITY ACCESS TO HIGHER LEVELS OF CARE. 1140 1140 CONTRIBUTIONS TO RELATED PARTY 1140 1140 8041484 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 1 0 0 0 0 0 0 1 1 0 0 0 1 14 0 1 0 0 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 AVENUE 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 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 RON SALLUZZO CHAIR 1.00 X X 0 0 0 JOHN HAYES BOARD CHAIR ELECT 1.00 X X 0 0 0 MELISSA GARDNER 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 MARURICIO RIVEROS DIRECTOR 1.00 X 0 0 0 JOSEPH WESLEY DIRECTOR 1.00 X 0 0 0 DR BRIDGETTE WIEFLING DIRECTOR 1.00 X 0 0 0 DEB SCHAUSEIL DIRECTOR 1.00 X 0 0 0 REV ROBERT SCHRADER DIRECTOR 1.00 X 0 0 0 CARMEN INDIANO DIRECTOR 1.00 X 0 0 0 JOSEPH STANKAITIS DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 1.00 39.00 X X 0 471752 22223 CHERYL RYAN DIRECTOR 1.00 X 0 0 0 JAMES SMITH DIRECTOR 1.00 X 0 0 0 DENNIS KANT SVP/CFO 1.00 39.00 X 0 272723 20191 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 3.00 37.00 X 0 233867 8524 JENNIFER BLACKCHEIF VP STRATEGY AND HOUSING 32.00 8.00 X 0 221023 8139 EILEEN RYAN-MARUKE VP OF MARKETING 2.00 38.00 X 0 191103 19220 SABRINA MCLEOD FINANCE DIRECTOR 2.00 38.00 X 0 160888 11076 AARON FIELDS CHIEF INFORMATION OFFICER 3.00 37.00 X 0 158906 12436 WILLIAM ROBINSON ASSISTANT ADMINISTRATOR 1.00 39.00 X 0 135349 17436 BRIAN HEPPARD ATTENDING PHYSICIAN 8.00 32.00 X 0 314405 21692 0 2160016 140937 0 0 1 0 US FOODSERVICE INC PO BOX 644547 PITTSBURGH PA 152644547 FOOD & BEVERAGE 369318 TOWN OF WEBSTER 1000 RIDGE ROAD WEBSTER NY 14580 TAXES 179675 2 1001917 1001917 NET RESIDENT SERVICE REVENUE 623000 9463197 9463197 OTHER RESIDENT REVENUE 623000 191091 191091 9654288 42532 42532 MISCELLANEOUS 900099 347289 347289 GAIN ON SETTLEMENTS 900099 247350 247350 CAFE/VENDING REVENUE 900099 194744 194744 789383 11488120 9654288 0 831915 1140 1140 3477809 3217387 260422 624587 577817 46770 251224 232412 18812 5659 5659 17000 17000 408320 285101 123219 109867 109867 32819 29470 3349 16782 16782 584594 584338 256 783 783 1339730 1339730 1439258 1439258 144917 144917 FOOD 543129 542484 645 OTHER EXPENSES 272765 251082 21683 LICENSES, FEES & DUES 180035 179720 315 INTERCOMPANY SUPPORT AL 37089 -784155 821244 9487507 8041484 1446023 0 408792 777513 10002 151502 121783 53571 41413 27236 23245 41375738 14510997 28043825 26864741 3796984 3833894 3778062 3318293 36259972 34990884 1989509 2634558 499733 681933 25565344 25298664 12507626 9583911 40562212 38199066 X -4302240 -3208182 -4302240 -3208182 36259972 34990884 X 2000613 -5427 -901128 X X 0 1 X 1 0 X 134872 45908 22556 32339 1001917 1237592 8892957 8755116 9279688 9932038 9654288 46514087 9027829 8801024 9302244 9964377 10656205 47751679 0 0 0 47751679 15914 24488 15090 26478 42532 124502 15914 24488 15090 26478 42532 124502 247309 213558 220687 287479 789383 1758416 9291052 9039070 9538021 10278334 11488120 49634597 0.96210 0.97300 0.00250 0.00180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2939188 2939188 35584790 13324053 22260737 1621120 815148 805972 1230640 371796 858844 26864741 BOND FUND 848106 DEBT SERVICE RESERVE 1601791 ENTRANCE FEE DEPOSITS 868396 3318293 DUE TO AFFILIATES 5427548 REFUNDABLE FEES AND DEPOSITS 3470655 SECURITY DEPOSITS 685708 9583911 10580425 -5427 -902268 -907695 11488120 0 11488120 9486367 0 9486367 1140 1140 9487507 PART XI, LINE 2D - OTHER ADJUSTMENTS: CONTIBUTION TO RELATED PARTY -1,140. PENSION LIABILITY ADJUSTMENT -901,128. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION TO RELATED PARTY 1,140. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 0 345374 0 102935 0 23443 0 8700 0 13523 0 493975 0 0 BRIAN HEPPARD ATTENDING PHYSICIAN 0 292897 0 21508 0 0 0 8700 0 12992 0 336097 0 0 DENNIS KANT SVP/CFO 0 230069 0 42654 0 0 0 8182 0 12009 0 292914 0 0 ROBERT BOURG VP OF ORGANIZATIONAL DEVELOPMENT 0 197301 0 36566 0 0 0 7016 0 1508 0 242391 0 0 JENNIFER BLACKCHEIF VP STRATEGY AND HOUSING 0 186469 0 34554 0 0 0 6631 0 1508 0 229162 0 0 EILEEN RYAN-MARUKE VP OF MARKETING 0 161237 0 29866 0 0 0 5733 0 13487 0 210323 0 0 SABRINA MCLEOD FINANCE DIRECTOR 0 144800 0 16088 0 0 0 4827 0 6249 0 171964 0 0 AARON FIELDS CHIEF INFORMATION OFFICER 0 151874 0 7032 0 0 0 4767 0 7669 0 171342 0 0 WILLIAM ROBINSON ASSISTANT ADMINISTRATOR 0 121775 0 13574 0 0 0 4060 0 13376 0 152785 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 ON THE 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 26158637 TO REFUND REV BOND, SERIES 2014 0 0 1 A 255597 26158637 1601791 24228129 334027 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 TRUST & ESTATE ATTORNEY OF THE BOND SHOENECK & KING. ST. ANN'S ENGAGES BOND SHOENECK & KING FOR PREPARATION OF CERTAIN LEADERSHIP ESTATE PLANS. 0 JOSEPH WESLEY BOARD MEMBER OF ST. ANN'S COMMUNITY 17448 JOSEPH WESLEY IS A CURRENT BOARD MEMBER AND DIRECTOR AT WEGMANS FOOD MARKETS. ST. ANN'S ENGAGES WITH WEGMANS FOOD MARKETS FOR GOOD AND SUPPLIES. 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 ORGANZIATIONAL 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 OWN 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, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILBLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -901,128. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. FORM 990, PART V, LINE 2A: ALL INDIVIDUALS WORKING AT ST. ANN'S SENIOR HOUSING, INC. D/B/A CHERRY RIDGE ("CR") 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 CR'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT BY THE SHARED EMPLOYEES. SAH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. CHERRY RIDGE INDEPENDENT LIVING LLC DBA COTTAGES AT CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 200194906 SENIOR INDEPENDENT LIVING NY ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE CHERRY RIDGE APARTMENTS LLC DBA APARTMENTS AT CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 202375748 SENIOR INDEPENDENT LIVING NY ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE THE GLEN AT CHERRY RIDGE LLC DBA RANIER GROVE AT CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 202813573 SENIOR ASSISTED LIVING WITH NURSING CARE NY ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 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 HOME 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 GREENS OF LEROY 1500 PORTLAND AVENUE ROCHESTER NY 14621 852951380 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1