2016-11-08T09:37:55-07:00 2015-12-31 990 2015-01-01 237046583 M M EWING CONTINUING CARE CENTER MMEW 5853966000 350 Parrish Street Canandaigua NY 144241731 Mark Prunoske Sr VP Finance / CFO 5853966280 2016-11-08 2015 2017-02-10 21:41:12Z Michael F Stapleton 350 Parrish Street Canandaigua NY 144241731 19652893 0 X www.thompsonhealth.com X 1968 NY M.M.Ewing Continuing Care Center is a residential health care facility which provides the community with 178 long term care beds and an adult day service program which provided 46 slots. 24 19 316 60 0 0 59031 61807 18769883 19407546 191 1395 209722 160355 19038827 19631103 0 0 0 0 11021002 11325414 0 0 0 7157120 7164193 18178122 18489607 860705 1141496 7499242 8309047 4706703 4214148 2792539 4094899 M.M.Ewing Continuing Care Center is dedicated to providing a continuum of long-term, rehabilitative, and related services to the community while respecting the dignity and individuality of those served. 0 0 13709513 0 18319219 MM Ewing Continuing Care Center is a residential health care facility offering quality skilled nursing. There are 178 long term care beds on five avenues (Pines, Rosewood, Lakeview, Gardens, and the Meadows) for residents where they are provided with post-hospital care services, that require rehabilitation or restoration from illness, surgery and/or hospital stays; care for those suffering from dementia/Alzheimers and long term services for individuals who need 24-hour skilled nursing care. 813276 0 1088327 The Medical Adult Day Services (The Brighter Day) provide a safe, friendly place to stay active while receiving personal services and medical supervision. It is designed for those who live alone or with a caregiver. Adults are also provided with personal care, well-balanced meals and snacks, and the opportunity to spend time with others in a secure environment while loved ones enjoy peace of mind. 0 0 0 14522789 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 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 X 0 0 1 316 1 0 0 0 0 0 0 0 0 0 0 X 24 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X FFThompson Hospital Roberta Spezzano 5853966000 350 Parrish Street Canandaigua NY 144241731 X James H Barr CPA Board Member 0.5 0.5 X 0 0 0 Richard Cutri Board Member 0.5 0.5 X 0 0 0 Randall Farnsworth Board Member 0.5 0.5 X 0 0 0 Ellie Fralick Member at Large 0.5 0.5 X 0 0 0 Roger Friedlander Board Member 0.5 0.5 X 0 0 0 Daniel Fuller Board Member 0.5 0.5 X 0 0 0 Steven Goldstein Board Member 0.5 71 X 0 899082 895783 Frank Hamlin Board Member 0.5 0.5 X 0 0 0 Richard H Hawks JR Board Chair 1 1 X X 0 0 0 Dale Hunt Board Member 0.5 0.5 X 0 0 0 William Kenyon Esq Board Member 0.5 0.5 X 0 0 0 Ronald Knight Board Member 0.5 0.5 X 0 0 0 Tom Kubiak Board Member 0.5 0.5 X 0 0 0 Raymond Mayewski MD Board Member 0.5 60 X 0 664346 117603 John McGuire MD President of Medical Staff 0.5 39.5 X X 0 207586 34531 Brian Meath Board Secretary 1 1 X X 0 0 0 Rev Thomas Mull Board Member 0.5 0.5 X 0 0 0 Deborah Price Board Member 0.5 0.5 X 0 0 0 Carl Sahler MD Board Member 0.5 0.5 X 0 0 0 Robert Sands Board Treasurer 1 1 X X 0 0 0 Michael Stapleton President/CEO 2 38 X 0 464873 83625 Mark Taubman Board Member 0.5 75 X 0 889885 303168 Cynthia Teerlinck MD Board Member 0.5 0.5 X 0 0 0 Lori Van Dusen Board Member 0.5 0.5 X 0 0 0 David Baum SVP Medical Affairs & Emergency Physician 2 38 X 0 361556 56561 Mark Prunoske SVP Finance / CFO 2 38 X 0 272993 55467 Kurt Koczent EVP/COO 1 1 X 0 226568 54336 Elizabeth Talia VP Legal & Regulatory Affairs and General Counsel 5 35 X 0 154606 29120 Dona Rickard Senior Vice President, Senior Living Services 34 6 X 63150 10592 4764 Terence L Klinetob Vice President Long Term Care 40 0 X 42893 0 5267 Kimberly S Klinetob Vice President Long Term Care 40 0 X 15367 0 1791 Leslie Meyers MD Physician 25 0 X 125170 0 0 246580 4152087 1642016 1 0 1 0 Ontario ARC 3071 County Complex Drive Canandaigua NY 14424 Adult Day Care Transportation 214103 2 0 0 0 61807 0 0 0 61807 Skilled Nursing Services 623000 18319219 18319219 0 0 Medical Adult Day Program 623000 1088327 1088327 0 0 0 0 0 0 19407546 1501 0 0 1501 0 0 0 0 0 0 0 0 0 0 0 21684 0 21790 0 -106 -106 0 0 -106 0 Associate/patient support 812900 160355 0 0 160355 0 0 0 0 160355 19631103 19407546 0 161750 X 0 0 0 0 0 0 0 0 121409 0 121409 0 0 0 0 0 9533177 8526574 1006603 0 400999 352879 48120 0 785289 691054 94235 0 484540 426395 58145 0 0 0 0 0 21910 0 21910 0 17875 0 17875 0 0 0 0 0 0 0 0 0 0 0 740136 660499 79637 0 0 0 0 0 73090 11308 61782 0 84797 84797 0 0 0 0 0 0 301627 300378 1249 0 2109 228 1881 0 0 0 0 0 3518 2335 1183 0 45910 45910 0 0 0 0 0 396006 348485 47521 0 80179 0 80179 0 NYS Cash Receipts 1080945 0 1080945 0 Hospital Services 3545158 2536685 1008473 0 Membership Assessment 277417 113741 163676 0 493516 467431 26085 0 18489607 14522789 3966818 0 0 0 979468 990052 0 0 1721142 2539144 0 0 0 0 0 0 0 0 56474 40549 15455221 11153646 4175924 4301575 0 0 0 0 566234 437727 7499242 8309047 61147 50338 0 0 0 0 0 0 27100 20918 0 0 1566766 1282829 0 0 3051690 2860063 4706703 4214148 X 2674709 3966681 117830 128218 0 0 2792539 4094899 7499242 8309047 X 1141496 0 0 0 0 160864 X 0 1 X 1 0 X 1 27100 53551 59734 20917 1 X 8410147 39879 -52633 20000 416752 0 7960641 8160115 60504 440305 0 250777 0 8410147 7571403 13176 1114484 0 538948 0 8160115 6934130 167545 769935 0 300207 0 7571403 6239690 863280 44331 0 213171 0 6934130 0.93 0.07 0 0 1 1 0 25000 25000 0 10247516 7768435 2479081 0 0 0 0 0 4513292 2993205 1520087 0 669413 392006 277407 4301575 Beneficial interest in the net assets of FF Thompson Foundation, Inc 128218 Assets limited as to use 250000 Other assets 59509 437727 0 Accrued pension liability 1817413 Due to Affiliates, net 123160 Estimated third-party payor settlements, net 484225 Conditional asset retirement obligation 130648 Other accrued liabilities 304617 2860063 19631103 0 0 0 0 0 19631103 0 0 0 19631103 18489607 0 0 0 0 0 18489607 0 0 0 18489607 Schedule D, Part IV, Line 1b MM Ewing Continuing Care Center holds the residents funds in a cash account for their convenience. It is recorded as an asset (cash) and a liability (accrued liability-resident funds). Schedule D, Part IV, Line 2b See Schedule D Part IV; line 1b Schedule D, Part V, Line 4 The funds are held by the Foundation for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs. 0 1 0 0 0 0 0 1 0 Steven Goldstein Board Member 0 825325 0 0 0 73757 0 879451 0 16332 0 1794865 0 0 Raymond Mayewski MD Board Member 0 617854 0 0 0 46492 0 100551 0 17052 0 781949 0 0 Mark Taubman Board Member 0 870540 0 0 0 19345 0 280551 0 22617 0 1193053 0 0 Michael Stapleton President/CEO 0 326130 0 69525 0 69218 0 67385 0 16240 0 548498 0 0 David Baum SVP Medical Affairs & Emergency Physician 0 316040 0 30316 0 15199 0 52498 0 4063 0 418116 0 0 Mark Prunoske SVP Finance / CFO 0 193046 0 45824 0 34123 0 40263 0 15204 0 328460 0 0 Kurt Koczent EVP/COO 0 194423 0 31313 0 832 0 38100 0 16237 0 280905 0 0 John McGuire MD President of Medical Staff 0 183187 0 19655 0 4744 0 19391 0 15140 0 242117 0 0 Elizabeth Talia VP Legal & Regulatory Affairs and General Counsel 0 142626 0 10994 0 985 0 12955 0 16165 0 183725 0 0 Leslie Meyers MD Physician 123267 0 125 0 1778 0 13019 0 2086 0 140275 0 0 0 Schedule J, 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 official's compensation, this question has been left unanswered. Refer to Schedule O, description of compensation review and approval process. Schedule J, Part I, Line 4 The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation 457 (f) plan payments were: Michael Stapleton - $46,351; Mark Prunoske - $19,571; Kurt Koczent - $19,571; David Baum - $25,110;Steven Goldstein SERP Plan $159,400; Steven Goldstein 457 (f) Plan $694,500; Raymond Mayewski, MD SERP Plan $75,000; Mark Taubman, MD SERP Plan $105,000; Mark Taubman, MD 457 (f) Plan $150,000. Schedule J, Part I, Line 7 The President/CEO, Executive VP/COO, and Senior VP of Finance/CFO are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal ties in part to the net earnings of the organization and its affiliates. Form 990, Part V, Line 2a Employees and certain officers, directors, and key employees of the MM Ewing Continuing Care Center receive compensation from the Frederick Ferris Thompson Hospital, a related IRC Section 501(c)(3) organization, through a common paymaster for its affiliates. Because employees are included in the common paymaster, a portion of the salaries of these individuals is allocated to the MM Ewing Continuing Care Center and is included as part of other salary and wages on their statement of functional expenses. Certain officers and key employees of the MM Ewing Continuing Care Center also devote significant time each week to other related organizations. None of the board members of the MM Ewing Continuing Care Center are compensated for their board services. Form 990, Part VI, Section A, Line 4 There have been no significant changes to MM Ewing Continuing Care Center's governing documents since the last form 990 was filed. However, changes to the bylaws were approved by the Board in March 2016. Form 990, Part VI, Section A, Line 6 The sole member of MM Ewing Continuing Care Center is FF Thompson Health System Inc. (System). The System, the University of Rochester Medical Center and the University of Rochester (UR) are parties in an affiliation agreement whereby UR is the sole corporate member of the System. The System acting through its board of directors, has the authority to elect the governing body of MM Ewing Continuing Care Center and approve certain decisions. Such decisions include appointment of the MM Ewing Continuing Care Center President and CEO, amendment of the certificate of incorporations 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 Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section A, Line 7b Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section B, Line 11b The Director of Finance and CFO reviewed the return and then provided it to an independent accounting firm for their review as well. The return was made available to the Board members via a shared intranet website. At the Board meeting preceding the filing date, questions were entertained by management. There are several days after the Board meeting where members can also review the return and ask questions prior to the filing date. Form 990, Part VI, Section B, Line 12c Board members, officers and key employees complete conflict of interest disclosure statements annually and the statements are reviewed by the Audit Committee and General Counsel. The Audit Committee and General Counsel are responsible for monitoring compliance and follow-up with any potential conflicts, including developing a conflicts of interest management plan that identifies each conflict and potential conflict and how it will be addressed. In addition, each Board member with a conflict or potential conflict receives a letter outlining how the conflict will be addressed. Form 990, Part VI, Section B, Line 15 Executive compensation at Thompson is established by the compensation committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the CEO, which ties back to his performance reviews and incentive compensation rates. The year in which this process was last undertaken for each person was 2015. Form 990, Part VI, Section C, Line 19 These documents are available upon request by contacting the Administrative Office Form 990, Part VII, Section A, Line 1a Refer to Schedule O, Employment information, Form 990, Part V, Line 2a Form 990, Part IX, Line 7 Refer to Schedule O, Employment information, Form 990, Part V, Line 2a Form 990, Part XI, Line 9 Change in funded status of pension plan $150,476; change in beneficial interest in FF Thompson Foundation, Inc $10,388. Frederick Ferrris Thompson Hospital 350 Parrish Street Canandaigua NY 14424 160743024 Hospital NY 501 (c) (3) 3 Thompson Health System Inc 0 FF Thompson Foundation Inc 350 Parrish Street Canandaigua NY 14424 222959984 Fundraising NY 501 (c) (3) 7 Thompson Health System Inc 0 FF Thompson Health System 350 Parrish Street Canandaigua NY 14424 222959987 Support Org NY 501 (c) (3) 11a University of Rochester 0 FF Thompson Senior Communities Inc 1 Ferris Hills Canandaigua NY 14424 161557494 Elder Care NY 501 (c) (3) 9 Thompson Health System Inc 0 University of Rochester 910 Genesee Street STE 200 Rochester NY 14611 160743209 School NY 501 (c) (3) 2 University of Rochester 0 Highland Hospital of Rochester 1000 South Avenue Rochester NY 14620 160743037 Hospital NY 501 (c) (3) 3 Strong Partners Healh System Inc 0 The Highland Foundation Inc 1000 South Avenue Rochester NY 14620 237310662 Fundraising NY 501 (c) (3) 11A 1 Highland Hospital 0 Highland Facilities Development Corp 1000 South Avenue Rochester NY 14620 223039077 Medical Bldg NY 501 (c)(3) 9 Highland Hospital 0 Highland Community Development Corp 100 Hahnemann Trail Pittsford NY 14534 223154715 Elder Care NY 501 (c) (3) 9 Strong Partners Health System Inc 0 The Highlands Living Center Inc 500 Hahnemann Trail Pittsford NY 14534 223240227 Healthcare NY 501 (c) (3) 9 SPHS 0 The Meadows at Westfall Inc 2901 Lac De Ville Blvd Rochester NY 14618 161502303 Healthcare NY 501 (c) (3) 9 Strong Partners Health System Inc 0 Strong Partners Health System Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 161499099 Support Org NY 501 (c) (3) 11A 1 University of Rochester 0 Strong Home Care Group 2180 Empire Boulevard Webster NY 14580 222577664 Fundraising NY 501 (c) (3) 7 University of Rochester 0 Visiting Nurse Srvc of Rocester Monro 2180 Empire Boulevard Webster NY 14580 160743215 Healthcare NY 501 (c) (3) 9 Srong Home Care Group 0 Community Care of Rochester 2180 Empire Boulevard Webster NY 14580 161561691 Healthcare NY 501 (c) (3) 9 Strong Home Care Group 0 Excell Partners Inc 160 Linden Oaks Suite E Rochester NY 14625 201862628 Economic Dev NY 501 (c) (4) NA University of Rochester 0 Rochester Bioventure Center Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 202485999 Biotech Incub NY 501 (c) (3) 11A 1 University of Rochester 0 High Tech Rochester Inc 150 Lucius Gordon Drive Suite 100 West Henrietta NY 14586 161195028 Business Incu NY 501 (c) (3) 7 University of Rochester 0 Crittenden Boulevard Housing Co Inc 249 Norton Village Lane Rochester NY 14609 237035414 Support Org NY 501 (c) (3) 11B ll University of Rochester 0 University of Rochester Employee Ben Trs 910 Genesee Street Suite 200 Rochester NY 14611 161600112 Emply Ben Trst NY 501 (c) (9) NA University of Rocheter 0 U of R Broadcasting Corporation 201 Wilson Commons Rochester NY 14627 160743209 Broadcast Lic NY 501 (c) (4) NA University of Rochester 0 UR Real Estate Corporation 263 Wallis Hall Rochester NY 14627 271140014 Support Org NY 501 (c) (3) 11D lll OTH University of Rochester 0 FRAMEMED Foundation Inc 263 Wallis Hall Rochester NY 14627 161490497 Support Org NY 501 (c) (3) 7 University of Rochester 0 Meliora Real Estate Corporation 263 Wallis Hall Rochester NY 14627 452464788 Support Org NY 501 (c) (3) 11D lll OTH University of Rochester 0 Finger Lakes Home Care Inc 756 Pre Emption Road Geneva NY 14456 161489133 Healthcare NY 501 (c) (3) 9 Visiting Nurse Service of Rochester & Monroe 0 Finger Lakes Visiting Nurse Service Inc 756 PreEmption Road Geneva NY 14456 223067627 Healthcare NY 501 (c) (3) 9 Visiting Nurse Service of Rochester & Monroe 0 FREDERICK FERRIS THOMPSON HOSPITAL GUILD 350 PARRISH STREET CANANDAIGUA NY 14424 166053299 ASSIST & SUPPORT THE FFTHOMPSON HEALTH SYSTEM AND ITS TAX-EXEMPT AFFILIATES NY 501 (c) (3) 9 N/A 0 EXCELL INNOVATE NY FUND LP 222 West Ridge Road Bldg 28 Suite 156-1 Rochester NY 14615 462405519 Funding Start Ups NY N/A Finger Lakes Community Care Network 350 Parrish Street Canandaigua NY 14424 161423442 Inactive NY FF Thompson Health System C 0 FFTH Properties and Services Inc 350 Parrish Street Canandaigua NY 14424 161286518 Holding CO NY FF Thompson Health System C 0 Medical Administrative Associates Inc 777 South Clinton Avenue Rochester NY 14620 161354319 Retail Pharmacy NY Highland Hospital C 0 UR Equity Holdings Inc 110 Office Park Way Pittsford NY 14534 273040889 Holding Co NY University of Rochester C 0 Excell Technology Ventures Inc 222 West Ridge Road STE 156-1 Rochester NY 14615 800909149 Biotech Incubator NY Rochester Bioventure C 0 Accountable Health Partners LLC 135 Corporate Woods STE 320 Rochester NY 14623 300787967 Acct Care Network NY University of Rochester C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 Schedule R, Part III Columns e,f,g,h,i,j and k are all not applicable