2014-11-12T12:26:30-06:00 2013-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2013-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2014-11-12 1 JENNIFER ARBORE P00893012 5854278900 2013 2015-11-30 17:44:51Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 63310323 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 20 19 1538 413 6035 5035 1559054 487370 55072828 57051061 671746 1254988 1004932 777849 58308560 59571268 46149 52380 0 0 39247730 40077913 0 0 0 19099584 20808696 58393463 60938989 -84903 -1367721 88015426 88742179 68966043 52929942 19049383 35812237 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 53250147 52380 57053894 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 2013 FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 138,004 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 23,090 DAYS OF CARE. THE LEO CENTER FOR CARING IS A 10-BED HOSPICE UNIT AND PROVIDED 1,921 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 2013, 12,854 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS OF BOTH PROGRAMS. 53250147 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 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 76 0 1 1538 1 1 1 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 X 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 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 JOSEPH STANKAITIS MD 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 PRESIDENT & CEO 21.00 19.00 X X 506177 0 14615 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 35.00 5.00 X 244172 0 18481 DENNIS KANT SENIOR VP/CFO 20.00 20.00 X 218626 0 18717 DIANE KANE MD CHIEF MEDICAL OFFICER 7.00 33.00 X 315191 0 20174 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 237610 0 18550 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 205339 0 16266 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 36.00 4.00 X 188850 0 15346 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 36.00 4.00 X 187241 0 16905 2103206 0 139054 23 0 1 0 PREMIER RECRUITMENT OUTSOURCING 1100 UNIVERSITY AVENUE ROCHESTER NY 14607 STAFFING 380100 RAYMOND E KELLEY INC 33 MAIN STREET BOWMANSVILLE NY 14026 EXTERIOR MASONRY RESTORATION AND MAINTEN 250000 ACM MEDICAL LABORATORY INC 160 ELMGROVE PARK ROCHESTER NY 14624 LAB SERVICES 212024 INTELLITEC SOLUTIONS INC 2002 WEST 14TH STREET WILMINGTON DE 19806 SOFTWARE IMPLEMENTATION/SUPPORT 192402 HARTER SECREST & EMERY 1600 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL 155222 12 464763 22607 487370 NET RESIDENT SERVICE REVENUE 623000 54328831 54328831 SUPPORT SERVICES 623000 2722230 2722230 57051061 465895 465895 22403 38495 -16092 -16092 -16092 4454730 3665637 789093 789093 789093 75403 34923 40480 40480 MEAL REVENUE 900099 439639 439639 MISCELLANEOUS 900099 248124 2833 245291 SEAGATE/RAHSA 900099 113677 6035 107642 -47979 -47979 753461 59571268 57053894 6035 2023969 52380 52380 1020788 1020788 30832246 27892612 2939634 2719886 2381711 338175 3273764 2860509 413255 2231229 1953811 277418 166643 166643 48039 48039 1772294 602878 1169416 65683 14036 51647 984237 651445 332792 408609 408609 833711 833711 178312 101585 76727 408602 408602 3839098 3839098 272259 253612 18647 NYS ASSESSMENT 2876383 2876383 MEDICAL SUPPLIES 2586665 2586665 BAD DEBT 2390803 2387482 3321 FOOD 1908994 1827647 81347 2068364 1725980 342384 60938989 53250147 7688842 0 5900 5900 5051512 3316970 1123173 10999449 8674157 387927 402788 250889 879377 63809570 18154546 44657645 45655024 13254788 15066062 168966 151472 12115177 14590429 88015426 88742179 34324693 18866699 412542 207558 29495610 28835205 4733198 5020480 68966043 52929942 X 10904051 26901515 1849606 1546243 6295726 7364479 19049383 35812237 88015426 88742179 X -1367721 1148143 16982432 X X 0 1 X 1 0 X 105850 652394 9299132 1559054 487370 12103800 48014000 44405393 56624367 55072828 57051061 261167649 48119850 45057787 65923499 56631882 57538431 273271449 0 0 0 273271449 432144 530486 428302 488143 465895 2344970 432144 530486 428302 488143 465895 2344970 726437 652909 750819 740850 863280 3734295 49278431 46241182 67102620 57860875 58867606 279350714 0.97820 0.97680 0.00840 0.00880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4370631 846266 5216897 3898835 471796 4370631 4004185 -105350 3898835 3586951 417234 4004185 2886055 700896 3586951 1.00000 0 0 122823 122823 39535444 10620725 28914719 42258 8217 34041 21415731 7123543 14292188 2693314 402061 2291253 45655024 BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 2956528 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 421830 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1316005 DEFERRED FINANCING COSTS, NET 1015678 DUE FROM AFFILIATES 8188239 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 692149 14590429 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 4070374 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 950106 5020480 X 74933008 1148143 16930052 18078195 56854813 67643 2648812 2716455 59571268 58170154 -2648812 -2648812 60818966 67643 52380 120023 60938989 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 2011 THROUGH 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 675,878. PENSION LIABILITY ADJUSTMENT 15,492,067. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -22,727. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 38,198. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 799,016. TRANSFER TO AFFILIATE (NETTED ON F/S) -52,380. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -38,495. GIFT SHOP EXPENSES -34,923. SUPPORT SERVICES 2,722,230. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 38,495. GIFT SHOP EXPENSES 34,923. SUPPORT SERVICES -2,722,230. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE (NETTED TO F/S) 52,380. 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 52380 CASH FINANCIAL SUPPORT 1 0 SCHEDULE I, PART 1, 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 PRESIDENT & CEO 354277 0 124551 0 27349 0 0 0 14615 0 520792 0 0 0 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 210869 0 33303 0 0 0 0 0 18481 0 262653 0 0 0 DENNIS KANT SENIOR VP/CFO 188021 0 30605 0 0 0 0 0 18717 0 237343 0 0 0 DIANE KANE MD CHIEF MEDICAL OFFICER 288254 0 26937 0 0 0 0 0 20174 0 335365 0 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 220369 0 17241 0 0 0 0 0 18550 0 256160 0 0 0 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 193887 0 11452 0 0 0 0 0 16266 0 221605 0 0 0 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 178203 0 10647 0 0 0 0 0 15346 0 204196 0 0 0 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 158518 0 28723 0 0 0 0 0 16905 0 204146 0 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 61075TAB4 2010-12-15 17200000 TO FINANCE CONSTRUCTION OF NEW REHAB FACILITY IN IRONDEQUOIT 0 0 0 A 270000 17159232 1022711 656487 14220208 1265197 2012 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 0 1 0 1 0 0 0 1 A 0 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 INVESTMENT EARNINGS AND THE BOND DISCOUNT. 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 COMMUNITY 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 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. 2013 VPS AND CEO DATE 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 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 675,878. PENSION LIABILITY ADJUSTMENT 15,492,067. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS -22,727. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. 799,016. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 38,198. 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) 11B 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