2015-11-16T11:43:12-06:00 2014-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2014-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2015-11-12 1 JENNIFER ARBORE P00893012 5854278900 2014 2016-02-25 16:41:14Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 67244223 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 20 18 1533 413 3729 2729 487370 2048746 57051061 59787216 1254988 1469025 777849 794992 59571268 64099979 52380 47265 0 0 40077913 40022402 0 0 0 20808696 23091074 60938989 63160741 -1367721 939238 88742179 83403869 52929942 65102083 35812237 18301786 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, OTHERWISE 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., AND ST. ANN'S SENIOR HOUSING INC. ST. ANN'S HOME FOR THE AGED (ST. ANN'S HOME) IS A 388 BED LICENSED SKILLED NURSING FACILITY. SPECIALIZED CARE OFFERED IN THIS FACILITY INCLUDES 60 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 HOME & HEART, A SOCIAL ADULT DAY PROGRAM AT TWO SATELLITE CENTERS SERVING 27 PEOPLE. 0 0 55286511 47265 59790448 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 2014 FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 138,055 DAYS OF CARE. INCLUDED IN THESE NUMBERS ARE BED DAYS FOR THE SPECIAL CARE UNIT, A 36 BED DEMENTIA CARE UNIT.THE WEGMANS TRANSITIONAL CARE CENTER PROVIDES 72 BEDS DEDICATED TO PROVIDING SHORT TERM POST ACUTE REHABILITATION. OUR TCC PROGRAM PROVIDED A TOTAL OF 22,714 DAYS OF CARE. THE LEO CENTER FOR CARING IS A 10-BED HOSPICE UNIT AND PROVIDED 2,038 DAYS OF CARE. THE HOME CONNECTION PROGRAM PROVIDED 30 SLOTS FOR MEDICAL ADULT DAY SERVICES AND THE HOME & HEART PROGRAM OFFERED SOCIAL ADULT DAY CARE AT TWO SATELLITE CENTERS SERVING 38 PEOPLE. DURING 2014, 51,380 HOURS OF CARE WERE PROVIDED TO PARTICIPANTS OF BOTH PROGRAMS. 55286511 1 1 0 0 0 0 0 0 0 1 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 4 0 1 1533 1 1 1 0 0 0 0 0 0 0 0 0 X 20 18 0 0 1 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 X MARGARET BRINGEWATT CHAIR 1.00 X X 0 0 0 JOSEPH STANKAITIS MD CHAIR ELECT 1.00 X X 0 0 0 PATRICK BURKE IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 TIMOTHY WHITE SECRETARY 1.00 X X 0 0 0 MARIE CASTAGNARO TREASURER 1.00 X X 0 0 0 ROBERT BERGIN 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 PAULA DOLAN DIRECTOR 1.00 X 0 0 0 KENT GARDNER DIRECTOR 1.00 X 0 0 0 RICHARD GANGEMI MD DIRECTOR 1.00 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 JUDY TOYER DIRECTOR 1.00 X 0 0 0 JILL WYNN DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT & CEO 35.00 5.00 X X 348950 0 14465 DENNIS KANT SENIOR VP/CFO 20.00 20.00 X 227700 0 15191 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVELOPMENT 31.00 9.00 X 164603 0 2861 STEVEN SMITH VP OF FOUNDATION & RESOURCE DEVELOPMENT 6.00 34.00 X 163235 0 7115 MICHAEL SEELIG CR VP 0.00 40.00 X 162186 0 13590 DIANE KANE MD CHIEF MEDICAL DIRECTOR 7.00 33.00 X 358806 0 16537 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 270924 0 14463 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 222321 0 12617 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 36.00 4.00 X 203284 0 13482 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 36.00 4.00 X 197778 0 14055 ELIZABETH MULLIN-DIPROSA FORMER PRESIDENT/CEO 21.00 19.00 X 440535 0 9362 DAVID SONES FORMER VP ADMINISTRATOR 35.00 5.00 X 139264 0 4865 2899586 0 138603 26 1 1 0 SEDGWICK BUSINESS INTERIORS 176 ANDERSON AVENUE ROCHESTER NY 14607 RENOVATION SERVICES 619407 COMPETITIVE SOLUTIONS INC 1140 POWERS PLACE ALPHARETTA GA 30009 EMPLOYEE ENGAGEMENT 454479 PREMIER RECRUITMENT OUTSOURCING 1100 UNIVERSITY AVENUE ROCHESTER NY 14607 STAFFING 354000 FARMINGTON CO 30 WATERSIDE DR 527 FARMINGSTON CT 06032 BENEFITS CONSULTANT 301936 RAYMOND E KELLEY INC 33 MAIN STREET BOWMANSVILLE NY 14026 EXTERIOR MASONRY RESTORATION AND MAINTEN 253185 14 2048746 2048746 NET RESIDENT SERVICE REVENUE 623000 56876163 56876163 SUPPORT SERVICES 623000 2911053 2911053 59787216 663589 663589 111263 33615 77648 77648 77648 3880340 3074904 805436 805436 805436 83190 35725 47465 47465 MEAL REVENUE 900099 452836 452836 MISCELLANEOUS 900099 152735 3232 149503 SEAGATE/RAHSA 900099 52939 3729 49210 11369 11369 669879 64099979 59790448 3729 2257056 47265 47265 1067902 1067902 32040417 29304125 2736292 1102291 976616 125675 3474753 3028273 446480 2337039 2070587 266452 154407 154407 24500 24500 89260 89260 1844224 650994 1193230 52702 20535 32167 1132897 500521 632376 535030 535030 894580 894580 237187 120171 117016 472409 472409 4423207 4423207 406157 384584 21573 BAD DEBT 3502089 3499892 2197 NYS ASSESSMENT 2733875 2733875 MEDICAL SUPPLIES 2670714 2670714 FOOD 1931495 1828747 102748 1986341 1659416 326925 63160741 55286511 7874230 0 5900 5900 3316970 3351435 8674157 9358913 402788 385386 879377 1166307 66288075 21518394 45655024 44769681 15066062 15004286 151472 331600 14590429 9030361 88742179 83403869 18866699 31091319 207558 406710 28835205 29433600 5020480 4170454 52929942 65102083 X 26901515 10321951 1546243 7014742 7364479 965093 35812237 18301786 88742179 83403869 X 939238 -148987 -1979603 -16321099 X X 0 1 X 1 0 X 652394 9299132 1559054 487370 2048746 14046696 44405393 56624367 55072828 57051061 59870406 273024055 45057787 65923499 56631882 57538431 61919152 287070751 0 0 0 287070751 530486 428302 488143 465895 774852 2687678 530486 428302 488143 465895 774852 2687678 652909 750819 740850 863280 669879 3677737 46241182 67102620 57860875 58867606 63363883 293436166 0.97830 0.97820 0.00920 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5705040 323806 6028846 4779686 925354 5705040 3898835 471796 4370631 4004185 -105350 3898835 3586951 417234 4004185 0.00000 0.09050 0.90950 0 0 122823 122823 40164685 12434898 27729787 42967 22432 20535 24415040 8543636 15871404 1542560 517428 1025132 44769681 BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 113014 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 419724 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1418251 DEFERRED FINANCING COSTS, NET 437978 DUE FROM AFFILIATES 6206162 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 435232 9030361 DEFERRED COMPENSATION 512731 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 2918567 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 739156 4170454 X 44698920 -148987 -16321099 -16470086 61169006 89260 2841713 2930973 64099979 60229768 -2841713 -2841713 63071481 89260 89260 63160741 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE TO BE USED FOR IT'S CORPORATE PURPOSE. PART X, LINE 2: THE HOME IS A NOT-FOR-PROFIT 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 HOME'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, THE HOME WILL RECOGNIZE 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. MANAGEMENT BELIEVES THAT THE HOME IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE HOME'S FINANCIAL STATEMENTS. THE EXEMPT INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2012 THROUGH 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -770,791. PENSION LIABILITY ADJUSTMENT -14,606,923. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 102,246. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -2,106. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 113,014. LOSS ON DEFERRED FINANCING COSTS AND BOND DISCOUNTS DUE TO REFINANCING -1,156,539. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -33,615. GIFT SHOP EXPENSES -35,725. SUPPORT SERVICES 2,911,053. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 33,615. GIFT SHOP EXPENSES 35,725. SUPPORT SERVICES -2,911,053. 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 47265 CASH FINANCIAL SUPPORT 1 0 SCHEDULE I, 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 323551 0 0 0 25399 0 0 0 14465 0 363415 0 0 0 DENNIS KANT SENIOR VP/CFO 215131 0 0 0 12569 0 0 0 15191 0 242891 0 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVE 161500 0 0 0 3103 0 0 0 2861 0 167464 0 0 0 STEVEN SMITH VP OF FOUNDATION & RESOURCE DEVELOPM 156977 0 0 0 6258 0 0 0 7115 0 170350 0 0 0 MICHAEL SEELIG CR VP 151367 0 0 0 10819 0 0 0 13590 0 175776 0 0 0 DIANE KANE MD CHIEF MEDICAL DIRECTOR 327026 0 0 0 31780 0 0 0 16537 0 375343 0 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 261590 0 0 0 9334 0 0 0 14463 0 285387 0 0 0 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 209465 0 0 0 12856 0 0 0 12617 0 234938 0 0 0 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 192478 0 0 0 10806 0 0 0 13482 0 216766 0 0 0 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 185538 0 0 0 12240 0 0 0 14055 0 211833 0 0 0 ELIZABETH MULLIN-DIPROSA FORMER PRESIDENT/CEO 427734 0 0 0 12801 0 0 0 9362 0 449897 0 0 0 DAVID SONES FORMER VP ADMINISTRATOR 137188 0 0 0 2076 0 0 0 4865 0 144129 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE FORMER PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $29,092; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $8,842; AND CLUB MEMBERSHIP OF $1,524. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE FORMER PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON ON THE FORM W-2. ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $9,438; REIMBURSEMENT OF PROFESSIONAL ADVISORY SERVICE FEES OF $16,000; AND REIMBURSEMENT OF MOVING EXPENSES OF $2,050. 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 55494 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 88176 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 $88,176 FOR 2014. 0 0 FORM 990, PART VI, SECTION A, LINE 4 ADDITIONAL LANGUAGE WAS ADDED TO THE ORGANIZATIONAL DOCUMENTS TO REFLECT THE CHANGES REQUIRED BY THE NEW YORK NON-PROFIT REVITALIZATION ACT. FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORT IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY EFP ROTENBERG, 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 THE 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. 2014 VPS AND CEO DATE REVIEWED; 2014 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 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: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -770,791. PENSION LIABILITY ADJUSTMENT -14,606,923. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 102,246. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. 113,014. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -2,106. LOSS ON DEFERRED FINANCING COSTS AND BOND DISCOUNTS DUE TO REFINANCING -1,156,539. 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) 11A 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) 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 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 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 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1