2014-11-12T12:27:00-06:00 2013-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2013-01-01 237098164 ST ANN'S NURSING HOME COMPANY INC D/B/A THE HERITAGE STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2014-11-12 1 JENNIFER ARBORE P00893012 5854278900 2013 2015-11-30 17:44:51Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 12081220 0 X WWW.STANNSCOMMUNITY.COM X 1971 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 20 19 0 19 0 0 3242965 3800 8168801 8105250 448573 964964 53277 44885 11913616 9118899 87171 89046 0 0 5184860 5300546 0 0 0 6318763 5799999 11590794 11189591 322822 -2070692 41524617 40419339 20928260 20392764 20596357 20026575 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 NOT-FOR-PROFIT 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 10298413 89046 8105250 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 2013, 21,778 DAYS OF CARE FOR SKILLED NURSING AND 3,961 DAYS OF CARE FOR POST-ACUTE REHABILITATION WERE PROVIDED. 10298413 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 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 20 19 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 PATRICK BURKE CHAIR 1.00 X X 0 0 0 MARGARET BRINGEWATT CHAIR ELECT 1.00 X X 0 0 0 ANN MCCORMICK 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 RICHAR 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 JOSEPH STANKAITIS 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 ELIZABETH MULLIN-DIPROSA DIRECTOR 3.00 37.00 X X 0 506177 14615 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 5.00 35.00 X 0 244172 18481 DENNIS KANT SENIOR VP/CFO 3.00 37.00 X 0 218626 18717 DIANE KANE MD CHIEF MEDICAL OFFICER 33.00 7.00 X 0 315191 20174 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 4.00 36.00 X 0 237610 18550 JOHN KURIK ASSOCIATE MEDICAL DIRECTOR 4.00 36.00 X 0 205339 16266 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 4.00 36.00 X 0 188850 15346 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 4.00 36.00 X 0 187241 16905 0 2103206 139054 0 0 1 0 0 3800 3800 NET RESIDENT SERVICE REVENUE 623000 8105250 8105250 8105250 327272 327272 732 0 732 732 732 3600013 2962321 637692 637692 637692 MISCELLANEOUS 900099 37549 37549 TELEPHONE REVENUE 900099 6604 6604 44153 9118899 8105250 0 1009849 89046 89046 4104246 3916777 187469 902501 861278 41223 293799 280379 13420 31994 31994 38030 38030 140819 73949 66870 20925 20925 103551 85381 18170 116170 116170 8079 4513 3566 204180 204180 1524680 1524680 158935 158935 INTERCOMPANY SUPPORT AL 2109653 1652069 457584 BAD DEBT 410706 410706 NYS ASSESSMENT 343147 343147 LETTER OF CREDIT FEES 316686 316686 272444 260517 11927 11189591 10298413 891178 0 2000 2000 2201905 2293708 79819 1393649 1128478 20615 26683 21877447 2858227 21283008 19019220 10563642 12234296 5979979 5714954 41524617 40419339 2601072 1334194 26943 73198 15991707 15739924 2308538 3245448 20928260 20392764 X 20089818 19877926 506539 148649 20596357 20026575 41524617 40419339 X -2070692 941948 558962 X X 0 1 X 1 0 X 35887 7547730 5076424 3242965 3800 15906806 13671657 13626983 14483099 8168801 8105250 58055790 13707544 21174713 19559523 11411766 8109050 73962596 0 0 0 73962596 319785 407175 302967 305615 328004 1663546 319785 407175 302967 305615 328004 1663546 97426 170203 188336 20166 476131 14124755 21752091 20050826 11737547 8437054 76102273 0.97190 0.97170 0.02190 0.02100 X 1126852 1126852 9992676 1066686 8925990 9594584 1508911 8085673 1163335 282630 880705 19019220 BENEFICIAL INTEREST IN REMAINDER TRUSTS 127922 DEFERRED FINANCING COSTS, NET 561625 DUE FROM AFFILIATES 1974423 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, MEDICAID 2486946 INTEREST IN NET ASSETS OF AFFILIATE 564038 5714954 DUE TO AFFILIATES 2674450 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, MEDICAID 63206 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 507792 3245448 X 10492733 941948 469916 1411864 9080869 38030 38030 9118899 11062515 0 11062515 38030 89046 127076 11189591 PART X, LINE 2: THE CARE CENTER 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 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 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 CARE CENTER 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 CARE CENTER'S FINANCIAL STATEMENTS. THE EXEMPT INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2011 THROUGH 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 340,324. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -25,348. CHANGE IN INTEREST IN NET ASSETS OF AFFILIATE 243,986. GRANT EXPENSE NETTED WITH CONTRIBUTION INCOME -89,046. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSE NETTED WITH CONTRIBUTION INCOME 89,046. 0 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 89046 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 ELIZABETH MULLIN-DIPROSA DIRECTOR 0 354277 0 124551 0 27349 0 0 0 14615 0 520792 0 0 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 0 210869 0 33303 0 0 0 0 0 18481 0 262653 0 0 DENNIS KANT SENIOR VP/CFO 0 188021 0 30605 0 0 0 0 0 18717 0 237343 0 0 DIANE KANE MD CHIEF MEDICAL OFFICER 0 288254 0 26937 0 0 0 0 0 20174 0 335365 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0 220369 0 17241 0 0 0 0 0 18550 0 256160 0 0 JOHN KURIK ASSOCIATE MEDICAL DIRECTOR 0 193887 0 11452 0 0 0 0 0 16266 0 221605 0 0 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 0 178203 0 10647 0 0 0 0 0 15346 0 204196 0 0 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 0 158518 0 28723 0 0 0 0 0 16905 0 204146 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $3,580; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $22,831; CLUB MEMBERSHIP OF $487; AND EMPLOYMENT CONTRACTS OF $450. 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. A MONROE COUNTY INDUSTRIAL DEVELOPMENT CORP 510188852 61075TAA6 2010-12-15 16085000 TO FINANCE CONSTRUCTION OF NEW SKILLED NURSING FACILITY IN WEBSTER 0 0 0 A 255000 16005924 1487701 581385 13495707 445648 2012 0 0 0 1 A 0 0 0 0 1 0 0 A 0 0 1 0 1 0 0 0 1 FORM 990, SCHEDULE K, PART II, LINE 3: TOTAL PROCEEDS OF ISSUE: TOTAL PROCEEDS OF ISSUE NOTED ON SCHEDULE K, PART II, LINE 3 DIFFERS FROM THE TOTAL ISSUE PRICE NOTED IN PART I OF SCHEDULE K DUE TO BOND DISCOUNT OFFSET BY INVESTMENT EARNINGS. PATRICK BURKE BOARD MEMBER OF ST. ANN'S COMMUNITY 32643 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 90000 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 $90,000 FOR 2013. 0 CRAIG BURTON BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 16132 CRAIG BURTON IS A CURRENT BOARD MEMBER AND FIRST VICE PRESIDENT, TEAM LEAD OF FIRST NIAGARA FINANCIAL GROUP, INC. TOTAL FEES PAID TO FIRST NIAGARA RISK MANAGEMENT WERE $16,132. ST. ANN'S UTILIZES FIRST NIAGARA'S RISK MANAGEMENT GROUP TO ADMINISTER IT'S INSURANCE POLICIES. IN ADDITION, CHAPEL OAKS, A ST. ANN'S COMMUNITY COMPANY, CLOSED ON REFINANCING ITS BONDS WITH FIRST NIAGARA ON JANUARY 9, 2014. 0 FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORTS IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY EFP ROTENBERG, LLP. FINAL REPORTS ARE REVIEWED BY THE ACCOUNTING TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, PROVIDED TO CEO AND SEVERAL EXECUTIVE COMMITTEE MEMBERS PRIOR TO REVIEW AT THE EXECUTIVE COMMITTEE MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT THE SEPTEMBER 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 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. 2013 VPS AND CEO DATA REVIEWED; 2013 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 340,324. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -25,348. CHANGE IN INTEREST OF NET ASSETS OF AFFILIATE 243,986. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. FORM 990, PART XI, 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 BENEFIT EXPENSE 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) 3 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) 11B 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