2016-11-14T11:02:15-06:00 2015-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2015-01-01 237098164 ST ANN'S NURSING HOME COMPANY INC STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2016-11-08 1 JENNIFER ARBORE P00893012 5854278900 2015 2017-02-10 21:41:12Z THE HERITAGE DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 12485181 0 X WWW.STANNSCOMMUNITY.COM X 1971 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 19 15 0 20 0 0 43344 4852 9160101 8078839 742884 499465 16226 79895 9962555 8663051 94530 81551 0 0 4980885 5319379 0 0 0 6216985 5451270 11292400 10852200 -1329845 -2189149 36266967 32791481 18655573 18109508 17611394 14681973 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. AND ST. ANN'S SENIOR HOUSING, INC.ST. ANN'S NURSING HOME COMPANY, INC. (THE HERITAGE) IS A NONPROFIT CORPORATION THAT OPERATES ST. ANN'S CARE CENTER AT CHERRY RIDGE, A 72-BED RESIDENTIAL HEALTH CARE FACILITY, PROVIDING INPATIENT POST-ACUTE REHABILITATION CARE AND PALLIATIVE CARE. 0 0 9864859 81551 8078839 ST. ANN'S NURSING HOME COMPANY, INC. (THE HERITAGE) IS A LICENSED SKILLED NURSING FACILITY THAT CURRENTLY OPERATES AS ST. ANN'S CARE CENTER AT CHERRY RIDGE. IT IS A 72-BED LICENSED FACILITY WHICH INCLUDES 60 SKILLED NURSING BEDS AND 12 INPATIENT POST-ACUTE REHABILITATION CARE BEDS. DURING 2015, 22,331 DAYS OF CARE FOR SKILLED NURSING AND 3,212 DAYS OF CARE FOR POST-ACUTE REHABILITATION WERE PROVIDED. 9864859 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 X 19 15 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 MARGARET BRINGEWATT IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 JOSEPH STANKAITIS MD CHAIR 1.00 X X 0 0 0 PATRICK BURKE DIRECTOR 1.00 X 0 0 0 CHERYL RYAN 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 RONALD SALLUZZO DIRECTOR 1.00 X 0 0 0 KENT GARDNER CHAIR ELECT 1.00 X X 0 0 0 REV KEVIN MCKENNA DIRECTOR 1.00 X 0 0 0 SISTER MARLENE PAPE DIRECTOR 1.00 X 0 0 0 MICHAEL PINCH DIRECTOR 1.00 X 0 0 0 MAURICIO RIVEROS DIRECTOR 1.00 X 0 0 0 ANN MCCORMICK DIRECTOR 1.00 X 0 0 0 JILL WYNN DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 5.00 35.00 X X 0 430576 16670 MICHELLE ASHBY DIRECTOR 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 X 0 0 0 JAMES LEO TREASURER 1.00 X X 0 0 0 DENNIS KANT SENIOR VP/CFO 3.00 37.00 X 0 232224 8500 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVELOPMENT 4.00 36.00 X 0 181543 2261 EILEEN RYAN-MARUKE VP OF MARKETING & COMM RELATIONS 4.00 36.00 X 0 156238 15113 SUSAN MURTY VP ADMINISTRATOR 5.00 35.00 X 0 200304 15162 DIANE KANE MD CHIEF MEDICAL DIRECTOR 33.00 7.00 X 0 406386 15162 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 4.00 36.00 X 0 368378 15162 JOHN JURIK MD ASSOCIATE MEDICAL DIRECTOR 4.00 36.00 X 0 236799 14129 JARVIS SANCHEZ-RIVERA MD STAFF ATTENDING PHYSICIAN 4.00 36.00 X 0 223249 15162 MICHELE SINCLAIR FORMER CHIEF NURSING EXECUTIVE 4.00 36.00 X 0 220336 14020 0 2656033 131341 0 1 1 0 0 4852 4852 NET RESIDENT SERVICE REVENUE 623000 7890610 7890610 BAD DEBT RECOVERY 623000 188229 188229 8078839 299479 299479 829 0 829 829 829 4022116 3822130 199986 199986 199986 MISCELLANEOUS 900099 78285 78285 TELEPHONE REVENUE 900099 781 781 79066 8663051 8078839 0 579360 81551 81551 5016596 4814345 202251 302783 290576 12207 18885 18885 17295 17295 74534 55369 19165 34816 34816 45423 42550 2873 130466 130466 8421 6462 1959 494471 494471 1478868 1478868 95295 95295 INTERCOMPANY SUPPORT AL 2183536 1517638 665898 NYS ASSESSMENT 530579 530579 OTHER EXPENSES 177974 166154 11820 MEDICAL SUPPLIES 135735 135735 24972 24800 172 10852200 9864859 987341 0 2000 1146822 2799660 2471042 1090238 643275 32246 24181 21954558 5683721 17547688 16270837 10063995 9893664 4731140 2341660 36266967 32791481 1000442 1112691 31255 0 16536752 15897129 1087124 1099688 18655573 18109508 X 17427053 14505269 184341 176704 17611394 14681973 36266967 32791481 X -2189149 -670843 -69429 X X 0 1 X 1 0 X 5076424 3242965 3800 43344 4852 8371385 14483099 8168801 8105250 9160101 7890610 47807861 19559523 11411766 8109050 9203445 7895462 56179246 0 0 0 56179246 302967 305615 328004 302522 300308 1539416 302967 305615 328004 302522 300308 1539416 188336 20166 208502 20050826 11737547 8437054 9505967 8195770 57927164 0.96980 0.97170 0.02660 0.02300 X 1126852 1126852 10012352 2287038 7725314 9655961 2845860 6810101 1159393 550823 608570 16270837 BENEFICIAL INTEREST IN REMAINDER TRUSTS 176704 DUE FROM AFFILIATES 1783177 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, MEDICAID 381779 2341660 DUE TO AFFILIATES 609856 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 12258 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 477574 1099688 X 7905484 -670843 -69429 -740272 8645756 17295 17295 8663051 10834905 0 10834905 17295 17295 10852200 PART X, LINE 2: THE CARE CENTER IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CARE CENTER'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, THE CARE CENTER RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITIONS ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS, IF INCURRED, ARE RECOGNIZED AS A COMPONENT OF INCOME TAX EXPENSE. THE CARE CENTER'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -61,792. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -7,637. 0 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 81551 N/A PROVIDE FINANCIAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION PROVIDES PERIODIC REPORTS DETAILING THE USE OF THE GRANT FUNDS TO THE BOARD OF DIRECTORS. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 0 303735 0 0 0 126841 0 0 0 16670 0 447246 0 0 DENNIS KANT SENIOR VP/CFO 0 205373 0 0 0 26851 0 0 0 8500 0 240724 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVE 0 160101 0 0 0 21442 0 0 0 2261 0 183804 0 0 EILEEN RYAN-MARUKE VP OF MARKETING & COMM RELATIONS 0 138346 0 0 0 17892 0 0 0 15113 0 171351 0 0 SUSAN MURTY VP ADMINISTRATOR 0 186229 0 0 0 14075 0 0 0 15162 0 215466 0 0 DIANE KANE MD CHIEF MEDICAL DIRECTOR 0 297648 0 0 0 108738 0 0 0 15162 0 421548 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0 270939 0 0 0 97439 0 0 0 15162 0 383540 0 0 JOHN JURIK MD ASSOCIATE MEDICAL DIRECTOR 0 213753 0 0 0 23046 0 0 0 14129 0 250928 0 0 JARVIS SANCHEZ-RIVERA MD STAFF ATTENDING PHYSICIAN 0 200457 0 0 0 22792 0 0 0 15162 0 238411 0 0 MICHELE SINCLAIR FORMER CHIEF NURSING EXECUTIVE 0 199667 0 0 0 20669 0 0 0 14020 0 234356 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $1,660; AND REIMBURSEMENT OF PROFESSIONAL COACHING FEES OF $25,783. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON 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. PATRICK BURKE BOARD MEMBER OF ST. ANN'S COMMUNITY 45668 PATRICK BURKE IS A CURRENT BOARD MEMBER AND MANAGING PRINCIPLE OF BURKE GROUP. ST. ANN'S ENGAGES BURKE GROUP AS ADMINISTRATOR OF IT'S RETIREMENT PLANS AND FOR ACTUARIAL SERVICES RELATED TO THESE PLANS. 0 DR DIANE KANE KEY EMPLOYEE OF ST. ANN'S HOME FOR THE AGED 82776 ST. ANN'S COMMUNITY MEDICAL PRACTICE IS A FOR-PROFIT ENTITY OWNED BY DR. KANE. DR. KANE IS ALSO THE MEDICAL DIRECTOR FOR ST. ANN'S HOME FOR THE AGED. THE ST. ANN'S MEDICAL PRACTICE PURCHASES SERVICES FROM ST. ANN'S WHICH INCLUDES DR. KANE'S TIME AS WELL AS ADDITIONAL NURSING AND ADMINISTRATIVE SUPPORT, TIME AND SPACE. FEES PAID TO ST. ANN'S COMMUNITY (ST. ANN'S HOME AND RELATED ORGANIZATIONS) TOTAL $82,776 FOR 2015. 0 ANNA LYNCH BOARD MEMBER OF ST. ANN'S COMMUNITY 94449 ANNA LYNCH IS A CURRENT BOARD MEMBER AND MANAGING PARTNER OF UNDERBERG & KESSLER LLP. ST. ANN'S ENGAGES UNDERBERG & KESSLER FOR LEGAL SERVICES. 0 REV KEVIN MCKENNA BOARD MEMBER OF ST. ANN'S COMMUNITY 10146 REV. KEVIN MCKENNA IS A CURRENT BOARD MEMBER AND REVEREND OF SACRED HEART CATHEDRAL. ST. ANN'S RENTS SPACE AT SACRED HEART CATHEDRAL FOR ITS ADS PROGRAM. 0 FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORT IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY EFPR GROUP, LLP. FINAL REPORTS ARE REVIEWED BY THE ST. ANN'S ACCOUNTING TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, AND PROVIDED TO THE CEO AND BOARD MEMBERS FOR COMMENTS PRIOR TO FILING THE RETURN. 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 OF HR AND CEO WITH ADJUSTMENTS MADE AS NEEDED TO MAINTAIN COMPETITIVENESS. CEO DATA IS REVIEWED BY A COMMITTEE INCLUDING THE BOARD CHAIR, PAST BOARD CHAIR, AND HR COMMITTEE CHAIR. ADJUSTMENTS MADE AS NEEDED TO MAINTAIN MARKET COMPETITIVENESS. 2015 VPS AND CEO DATA REVIEWED; 2015 DIRECTOR LEVEL DATA REVIEWED. 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 XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -61,792. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -7,637. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. FORM 990, PART V, LINE 2A: ALL INDIVIDUALS WORKING AT ST. ANN'S NURSING HOME COMPANY, INC. D/B/A THE HERITAGE ("THE HERITAGE") 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 THE HERITAGE'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT BY THE SHARED EMPLOYEES. SAH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 HEALTH CARE NY 501(C)(3) 9 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) 9 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S FOUNDATION INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161379536 HEALTH CARE NY 501(C)(3) 11A ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 HEALTH CARE NY 501(C)(3) 9 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) 11B N/A 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1