2014-11-14T15:09:02-07:00 2013-12-31 990 2013-01-01 237046583 M M EWING CONTINUING CARE CENTER MMEW 5853966124 350 Parrish Street Canandaigua NY 144241731 Mark Prunoske Sr VP Finance / CFO 5853966280 2014-11-14 2013 2015-11-30 17:44:51Z Michael F Stapleton 350 Parrish Street Canandaigua NY 14424 17782547 0 X www.thompsonhealth.com X 1968 NY M.M.Ewing Continuing Care Center is a resident health care facility which provides the community with 188 long term care beds;and an adult day service program which provided 46 slots. 24 19 1634 33 0 0 52899 48314 17476090 17542027 2057 -3046 166728 169698 17697774 17756993 0 0 0 0 11240682 10574399 0 0 0 7365307 7143291 18605989 17717690 -908215 39303 7585393 7394105 5635472 4463627 1949921 2930478 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 12866012 0 16175811 MM Ewing Continuing Care Center is a residential health care facility offering quality skilled nursing. There are 188 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, requiring rehabilitation or restoration from illness, surgery and hospital stays; care for those suffering from dementia/Alzheimers and long term services for individuals who need 24-hour skilled nursing care. 968409 0 1366216 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 13834421 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 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 0 0 1 1634 1 0 0 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 Mark Prunoske 5853966124 350 Parrish Street Canandaigua NY 144241731 X James H Barr CPA Member at large 0.5 0.5 X 0 0 0 Richard Cutri Member at large 0.50 0.5 X 0 0 0 Ellie Fralick Member at Large 0.5 0.5 X 0 0 0 Paul Hudson Member at large 0.5 0.5 X 0 0 0 Tom Kubiak Member at large 0.5 0.5 X 0 0 0 Rev Thomas Mull Member at large 0.5 0.5 X 0 0 0 Carl Sahler MD Member at large 0.5 0.5 X 0 0 0 Richard H Hawks JR Member at large 0.5 0.5 X 0 0 0 William Kenyon Esq Chair 1 1 X X 0 0 0 Ronald Knight Vice Chair/Chair Elect 1 1 X X 0 0 0 Brian Meath Secretary 1 1 X X 0 0 0 Robert Sands Treasurer 1 1 X X 0 0 0 Deborah Price Member at large 0.50 0.50 X 0 0 0 David Baum MD President of Medical Staff 1 1 X X 0 337450 31387 Randall Farnsworth member at large 0.5 0.5 X 0 0 0 Bradford Berk MD Member at large 0.50 65 X 0 950163 420661 Roger Friedlander Member at large 0.5 0.5 X 0 0 0 Daniel Fuller Member at large 0.5 0.5 X 0 0 0 Steven Goldstein Member at large 0.5 71 X 0 946186 263006 Frank Hamlin Member at large 0.5 0.5 X 0 0 0 Robert N Latella Esq Member at large 0.5 0.5 X 0 0 0 Raymond Mayewski MD Chief Medical Officer SMH & HH 0.5 60 X 0 580688 109496 Michael Stapleton President/CEO 2.5 37.5 X X 0 304552 76759 Mark Prunoske SVP Finance / CFO 4 36 X 0 190003 39427 Dona Rickard Senior Vice President, Senior Living Services 33 7 X 117101 22602 21383 Kathleen Vaughn Vice President Nursing Senior Living Services 40 0 X 89637 0 20009 Kurt Koczent EVP/COO 2.5 37.50 X 0 182596 50698 Cynthia Teerlinck MD member at large 0.5 0.5 X 0 0 0 206738 3514240 1032826 1 0 1 0 The Pike Company One Circle Street Rochester NY 14607 CCC Sprinkler Project 691409 Ontario ARC 3071 County Complex Drive Canandaigua NY 14424 Transportation services for adult day care 296540 Omnicare of NY LLC DBA OCR Rochester PO Boz 715268 Columbus OH 432715268 pharmacy services for residents 189228 Monroe Community Hospital 435 E Henrietta Road Rochester NY 14620 Medical Service for Medical Director in resident care facility 100749 4 48314 48314 Continuing Care Services 623000 16175811 16175811 0 0 Medical Adult Day Program 623000 1366216 1366216 0 0 17542027 1077 0 0 1077 0 0 0 0 0 0 0 0 0 0 0 21431 0 25554 0 -4123 -4123 -4123 0 0 Associate/patient support 812900 169698 169698 0 0 169698 17756993 17707602 0 1077 0 0 0 0 0 0 0 0 206738 0 206738 0 0 0 0 0 8792541 7950619 841922 0 362277 318804 43473 0 756058 665331 90727 0 456785 401971 54814 0 0 0 0 0 8729 0 8729 0 28067 0 28067 0 0 0 0 0 0 0 0 0 0 0 890040 800249 89791 0 0 0 0 0 33032 12445 20587 0 39886 39886 0 0 0 0 0 0 269520 268056 1464 0 3711 1020 2691 0 0 0 0 0 3253 824 2429 0 71716 0 71716 0 0 0 0 0 452707 398382 54325 0 151007 0 151007 0 Miscellaneous 446186 402864 43322 0 NYS Cash Receipts 1044198 0 1044198 0 Hospital Services 3409639 2434002 975637 0 Membership Assessment 291600 139968 151632 0 0 0 0 0 17717690 13834421 3883269 0 0 694917 576659 0 0 2073042 1904499 0 0 0 0 0 0 0 0 36812 46269 14751301 10270033 4419983 4481268 0 0 0 0 0 0 360639 385410 7585393 7394105 104628 72065 0 0 0 0 230000 0 0 31334 0 0 2127520 1848311 0 0 3173324 2511917 5635472 4463627 X 1840356 2808772 109565 121706 0 0 1949921 2930478 7585393 7394105 X 39303 0 0 0 0 941254 X 0 1 X 1 0 X 1 33919 6235 8820 31334 1 X 7571403 13176 1114484 0 538948 0 8160115 6934130 167545 769935 0 300207 0 7571403 6239690 863280 44331 0 213171 0 6934130 5619137 72378 814801 0 266626 0 6239690 4831696 57312 976186 0 246057 0 5619137 0.93 0.07 0 0 1 1 0 25000 25000 0 9732564 6980332 2752232 0 0 0 0 0 4563687 2928391 1635296 0 430050 361310 68740 4481268 Beneficial interest in the net assets of FFTHompson Foundation, Inc. 121706 Assets limited as to use 250000 Other Assets 12630 Due from Affiliates 1074 385410 0 accrued pension liability 1186028 due to affiliates, current 953812 estimated third-party payor settlements, net 162270 other accrued liabilities 209807 2511917 X 17762948 0 0 0 5955 5955 17756993 0 0 0 17756993 17717690 0 0 0 0 0 17717690 0 0 0 17717690 Schedule D, Part IV, Line 1b MMEwing 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 explanation provided Schedule D, Part IV Line 1b Schedule D, Part V, Line 4 The funds are for the benefit of FF Thompson Health System, Senior Communities, and Continuing Care Center. The Foundation evaluates the needs of these organizations and attempts to meet those needs. Schedule D, Part X, Line 2 As of December 31, 2013 and 2012, MMECCC does not have a liability for unrecognized tax positions. MMECCC files informational tax returns in the U.S.federal jurisdiction and New York State. MMECCC is no longer subject to U.S. federal and state income tax examinations by tax authorities for years through 2009. Schedule D, Part XI, Line 2d Current portion change in fair value of interest rate swap 1 1 0 0 0 1 1 0 0 David Baum MD President of Medical Staff 0 316239 0 9000 0 12211 0 13097 0 18290 0 368837 0 0 Michael Stapleton President/CEO 0 291062 0 0 0 13490 0 63668 0 13091 0 381311 0 0 Mark Prunoske SVP Finance / CFO 0 183524 0 0 0 6479 0 26606 0 12820 0 229429 0 Kurt Koczent Executive Vice President Operations 0 181649 0 0 0 947 0 37938 0 12760 0 233294 0 0 Dona Rickard Senior Vice President, Senior Living Services 116047 22401 0 0 1054 201 16542 3151 1420 270 135063 26023 0 0 Bradford Berk MD Member at large 0 904509 0 0 0 45654 0 409267 0 11394 0 1370824 0 0 Steven Goldstein Member at large 0 889314 0 0 0 56872 0 258967 0 4039 0 1209192 0 0 Raymond Mayewski MD Chief Medical Officer SMH & HH 0 556546 0 0 0 24142 0 99567 0 9929 0 690184 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 officials' 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 -$45,000;Carlos Ortiz-$24,000, Mark Prunoske-$19,000, Kurt Koczent-$23,364, Bradford Berk-$240,000, and Steven Goldstein-$75,000. SERP plan payments were: Bradford Berk $144,700, Steven Goldstein-$159,400 and Raymond Mayewski-$75,000. Schedule J, Part I, Line 6 The President/CEO and senior executives are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal is tied in part to the net earnings of the organization and its affiliates. Form 990, Part VI, Section A, Line 6 The sole member of MM Ewing CCC is F F Thompson Health System Inc. The Health System, acting through its board of directors, has the authority to elect the governing body of MM Ewing CCC and approve certain decisions. Such decisions include appointment of the MM Ewing CCC 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 reviewed the return and then provided it to an independent accounting firm for their review as well. The return was presented at a Board meeting prior to filing, with an overview of the changes from prior year. The return was made available to the Board members via a shared intranet web-site. Questions were entertained by management prior to filing. Form 990, Part VI, Section B, Line 12c Board members complete conflict of interest disclosure statements annually and the statements are reviewed by the Chair of the Nominating Committee and General Counsel. The 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 for Thompson (related parent organization) 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 compensaton levels. The compensation committee is also involved in goal setting for the executive team, which reflects back to their performances reviews and compensation rates. Form 990, Part VI, Section C, Line 19 These documents are available upon request by contacting the administration office. Form 990, Part VII, Section A, Line 1a 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. A portion of the salaries of these individuals is allocated to the CCC and is included as a part of other salary and wages on the statement of functional expenses. Certain officers and key employees of the CCC also devote significant time each week to other related organizations. None of the board members of the CCC are compensated for their board services. Form 990, Part XI, Line 9 Change in fair value of interest rate swap-$28,496; change in funded status of pension plan-$900,617; change in beneficial interest in F.F.Thompson Foundation, Inc.-$12,141. 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 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 N/A C FFTH Properties and Services Inc 350 Parrish Street Canandaigua NY 14424 161286518 Holding CO NY N/A C Medical Administrative Associates Inc 777 South Clinton Avenue Rochester NY 14620 161354319 Retail Pharmacy NY N/A C UR Equity Holdings Inc 110 Office Park Way Pittsford NY 14534 273040889 Holding Co NY N/A C Excell Technology Ventures Inc 222 West Ridge Road STE 156-1 Rochester NY 14615 800909149 Biotech Incubator NY N/A C Accountable Health Partners LLC 135 Corporate Woods STE 320 Rochester NY 14623 300787967 Acct Care Network NY N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0