2021-11-12T13:54:26-06:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 161502303 THE MEADOWS AT WESTFALL INC MEAD 5854427960 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 CARRIE FULLER-SPENCER ASSOCIATE VP & CFO 5854427960 2021-11-10 1 CARRIE FULLER-SPENCER XXX-XX-XXXX SAM PITTS P01521839 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE HIGHLANDS AT BRIGHTON CARRIE FULLER-SPENCER 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 17253982 0 X HTTPS://WWW.URMEDICINE.ORG X 1996 NY TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 145 BED SKILLED-NURSING FACILITY. 10 7 379 7 0 0 520 3466059 16354456 13613352 2356 4386 903158 170185 17260490 17253982 0 0 0 0 13275140 13674173 0 0 0 8243422 9171470 21518562 22845643 -4258072 -5591661 16847884 15810733 17994686 19503477 -1146802 -3692744 TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 145 BED SKILLED-NURSING FACILITY. 0 0 21368608 13613352 OPERATE A 145 BED SKILLED-NURSING FACILITY AT 96% OCCUPANCY WITH 47,854 NUMBER OF DAYS SERVED. 21368608 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 379 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JUDY SEIER 5854427960 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 MICHAEL P RIORDAN BOARD CHAIR 1.00 X X 0 0 0 ELIZABETH GARRETT BOARD MEMBER 1.00 X 0 0 0 WILLIAM J HALL MD BOARD MEMBER 1.00 X 0 3920 0 ROBERT LATELLA BOARD MEMBER 1.00 X 0 0 0 ROBBIE MAGEE BOARD MEMBER 1.00 X 0 0 0 GERALD VAN STRYDONK BOARD MEMBER 1.00 X 0 0 0 JAMES MOORE BOARD MEMBER 1.00 X 0 0 0 ROBERT MCCANN MD BOARD MEMBER 1.00 60.00 X 0 590034 47667 VALERIE C BENJAMIN BOARD MEMBER 1.00 X 0 0 0 KATHLEEN PARRINELLO BOARD MEMBER 1.00 68.00 X 0 738110 100121 STEVEN I GOLDSTEIN PRESIDENT 1.00 70.00 X 0 1352695 336816 CARRIE FULLER-SPENCER ASSOCIATE VP & CFO 1.00 63.00 X 0 413502 59772 WALTER WINIARCZYK ADMINISTRATOR 45.00 X 168682 0 19237 ADAM ANOLIK FORMER EXECUTIVE VP & CFO 1.00 63.00 X 0 655895 108478 168682 3754156 672091 1 1 1 0 MEDICAL STAFFING NETWORK 235 EAST AVE ROCHESTER NY 14604 TEMP STAFF 399104 SYSCO FOOD SERVICE OF SYRACUSE 2508 WARNERS ROAD WARNERS NY 13164 FOOD 321982 AID TO HOSPITALS 45 MCKEE ROAD ROCHESTER NY 14611 LINEN 214241 SHC SERVICES INC 1640 WEST REDSTONE CENTER DRIVE SUI PART CITY UT 84098 TEMP STAFF 182816 SUNBELT STAFFING 3687 TAMPA ROAD 200 OLDSMAR FL 34677 TEMP STAFF 182257 11 3464684 1375 3466059 RESIDENT SERVICE REVENUE 900099 13613352 13613352 13613352 4386 4386 13750 0 13750 13750 13750 MISCELLANEOUS 900099 156435 156435 156435 17253982 13613352 0 174571 11400004 10867979 532025 94209 89812 4397 1307860 1246824 61036 872100 831400 40700 54306 54306 18500 18500 512408 469136 43272 10543 9188 1355 123884 123884 1518693 1366450 152243 53467 48120 5347 PROFESSIONAL SERVICES 2671457 2460034 211423 BAD DEBTS 1568832 1568832 NON MEDICAL SUPPLIES 1149025 944296 204729 MEDICAL SUPPLIES 1030020 1030020 460335 436517 23818 22845643 21368608 1477035 0 1058119 1660156 161510 3746637 2939962 94445 159431 8941273 4071393 5019940 4869880 6928743 6019794 16847884 15810733 603830 497000 182640 4017867 3375000 13372989 15448837 17994686 19503477 X -1146802 -3692744 -1146802 -3692744 16847884 15810733 X -5591661 3045719 X X 0 1 X 1 0 X 379 359 3841 520 3466059 3471158 15597745 15917080 16534281 16354456 13613352 78016914 15598124 15917439 16538122 16354976 17079411 81488072 0 0 0 81488072 16879 43078 41011 39856 18136 158960 16879 43078 41011 39856 18136 158960 14564 16540 386107 865658 159311 1442180 15629567 15977057 16965240 17260490 17256858 83089212 0.98070 0.98200 0.00190 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 899333 899333 5483728 2722588 2761140 2558212 1348805 1209407 4869880 RESIDENT ACCOUNTS HELD IN TRUST 65614 OTHER NON-CURRENT ASSETS 259962 ASSETS HELD BY TRUSTEE UNDER LEASE AGREEMENT 269738 DUE FROM RELATED PARTIES 209250 RIGHT OF USE ASSET 5215230 6019794 RESIDENT ACCOUNTS HELD IN TRUST 65614 ACCRUED WORKERS' COMPENSATION - SHORT TERM 122479 ACCRUED PAYROLL AND EMPLOYEE BENEFITS 1408038 DUE TO UNIVERSITY OF ROCHESTER - LONG TERM 5160906 DUE TO RELATED PARTIES - LONG TERM 5526589 ACCRUED WORKERS COMPENSATION - LONG TERM 935483 DUE TO RELATED PARTIES - SHORT TERM 1948297 OTHER CURRENT LIABILITIES 116431 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, NET 165000 15448837 17253982 0 17253982 0 17253982 22845643 0 22845643 0 22845643 0 1 0 0 0 0 0 0 0 STEVEN I GOLDSTEIN PRESIDENT 0 1113771 0 0 0 238924 0 315600 0 21216 0 1689511 0 111000 KATHLEEN PARRINELLO BOARD MEMBER 0 631303 0 0 0 106807 0 79200 0 20921 0 838231 0 52000 ADAM ANOLIK FORMER EXECUTIVE VP & CFO 0 652602 0 0 0 3293 0 86200 0 22278 0 764373 0 0 ROBERT MCCANN MD BOARD MEMBER 0 575196 0 0 0 14838 0 18500 0 29167 0 637701 0 0 CARRIE FULLER-SPENCER ASSOCIATE VP & CFO 0 412976 0 0 0 526 0 31384 0 28388 0 473274 0 0 WALTER WINIARCZYK ADMINISTRATOR 168682 0 0 0 0 0 3900 0 15337 0 187919 0 0 0 PART I, LINE 3 AS PROVIDED IN THE FORM 990 SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS COMPENSATION, THE QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. PART I, LINE 4B BOX 4(B) HAS BEEN CHECKED YES, SINCE CERTAIN OFFICERS OF MAW PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY THE UNIVERSITY OF ROCHESTER, A RELATED IRC SECTION 501(C)(3) ORGANIZATION. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER-PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION AS FOLLOWS: STEVEN I. GOLDSTEIN SERP PLAN $159,400 STEVEN I. GOLDSTEIN 457(F) PLAN $150,000 ROBERT MCCANN, MD SERP PLAN $12,300 ADAM ANOLIK SERP PLAN $80,000 CARRIE FULLER-SPENCER SERP PLAN $20,000 KATHLEEN PARRINELLO SERP PLAN $60,000 KATHLEEN PARRINELLO 457(F) PLAN $13,000 PURSUANT TO THE UNIVERSITY'S IRC SECTION 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PARTICIPANTS ARE ENTITLED TO DISTRIBUTIONS FROM THE PLAN UPON THE OCCURENCE OF CERTAIN VESTNG EVENTS. THE FOLLOWING INDIVIDUALS MET THE VESTING CONDITIONS UNDER THE PLAN AND RECEIVED DISTRIBUTIONS IN CALENDAR YEAR 2020, WHICH ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III) AS OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN 457(F) PLAN $152,459 KATHLEEN PARINELLO 457(F) PLAN $63,664 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C IN PRIOR YEARS AND ARE ALSO REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS AND INCURRENCE OF CERTAIN DEBT. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS AND INCURRENCE OF CERTAIN DEBT. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS AND INCURRENCE OF CERTAIN DEBT. FORM 990, PART VI, SECTION B, LINE 11B MAW'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY SENIOR MANAGEMENT PRIOR TO FILING. THE FORM 990 WAS PROVIDED TO MAW'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH MAW THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE BOARD CHAIR AND LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY A BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO MAW AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTEREST OF MAW. FORM 990, PART VI, SECTION B, LINE 15 WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR MAW OFFICERS AND THE ADMINISTRATOR ANNUALLY ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD. THE COMMITTEE HAS AVAILABLE EVALUATIONS FROM THE CEO OF URMC HEALTH SYSTEM FOR THE OFFICERS, AND FROM MAW'S CEO FOR THE ADMINISTRATOR. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND THE ADMINISTRATOR AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 MAW'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. MAW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFERS FROM THE UNIVERSITY OF ROCHESTER 3,045,719. FORM 990, PART XII, LINE 2C: NO CHANGES FROM THE PRIOR YEAR. 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