2013-11-08T16:09:42-06:00 2012-12-31 232932984 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2012-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT 5856976000 2013-11-08 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-24 21:20:13Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 60268005 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 23 22 1162 434 2352 1352 9299132 1559054 56624367 55072828 633264 671746 697492 1004932 67254255 58308560 38494 46149 0 0 34661004 39247730 0 0 0 15585635 19099584 50285133 58393463 16969122 -84903 88498087 88063453 77100713 69014070 11397374 19049383 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. 1 0 44111064 46149 55077567 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 2012 FISCAL YEAR:SKILLED NURSING CARE PROVIDED A TOTAL OF 130,313 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 23,923 DAYS OF CARE. THE LEO CENTER FOR CARING IS A 10-BED HOSPICE UNIT AND PROVIDED 1,279 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 27 PEOPLE. 168 PARTICIPANTS WERE SERVED BY THE HOME CONNECTION AND HOME & HEART FOR A TOTAL OF 13,329 DAYS OF CARE. 44111064 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 0 0 0 0 0 0 1 0 0 0 1 53 0 1 1162 1 1 1 0 0 0 0 0 0 0 0 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DENNIS KANT CFO 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 X PATRICIA BOMBA MD 1.00 39.00 X 0 0 0 CHRISTOPHER A DIPASQUALE 1.00 39.00 X 0 0 0 KENT GARDNER 1.00 39.00 X 0 0 0 REV KEVIN MCKENNA 1.00 39.00 X 0 0 0 MICHAEL PINCH 1.00 39.00 X 0 0 0 THOMAS C MITCHELL 1.00 39.00 X 0 0 0 BARBARA J PURVIS 1.00 39.00 X 0 0 0 JILL WYNN 1.00 39.00 X 0 0 0 CHERYL ANN RYAN 1.00 39.00 X 0 0 0 ROBERT F RYAN 1.00 39.00 X 0 0 0 JOSEPH STANKAITIS MD 1.00 39.00 X 0 0 0 JUDY TOYER 1.00 39.00 X 0 0 0 BETH ANN KILBERG-WALSH 1.00 39.00 X 0 0 0 ROBERT J BERGIN 1.00 39.00 X 0 0 0 MARIO URSO 1.00 39.00 X 0 0 0 PAULA DOLAN 1.00 39.00 X 0 0 0 SR MARLENE PAPE RN MSN SSJ 1.00 39.00 X 0 0 0 ELIZABETH MULLIN-DIPROSA 27.00 13.00 X X 472728 0 47864 PATRICK BURKE 1.00 39.00 X X 0 0 0 MARGARET A BRINGEWATT 1.00 39.00 X X 0 0 0 ANN M MCCORMICK 1.00 39.00 X X 0 0 0 TIMOTHY WHITE 1.00 39.00 X X 0 0 0 MARIE CASTAGNARO 1.00 39.00 X X 0 0 0 MICHAEL MCRAE 35.00 5.00 X 214334 0 42124 DENNIS P KANT 31.00 9.00 X 214068 0 42144 DIANE KANE MD 37.00 3.00 X 284173 0 54449 JOHN JURIK 40.00 0.00 X 189372 0 40270 ROBERT BOURG 31.00 9.00 X 152243 0 22073 JARVIS SANCHEZ-RIVERA 40.00 0.00 X 173763 0 38983 MICHELE SINCLAIR 34.00 6.00 X 173092 0 37032 1873773 0 324939 8 0 1 0 PREMIER RECRUITMENT 1100 UNIVERSITY AVENUE ROCHESTER NY 14607 STAFFING 331073 ACM MEDICAL LABORATORY 160 ELMGROVE PARK ROCHESTER NY 146241391 LAB SERVICES 218012 HARTER SECREST & EMERY 1600 BAUSCH LOMB PLACE ROCHESTER NY 146042711 LEGAL 197002 MDS SOLUTIONS INC 173 RAE DRIVE ROCHESTER NY 14626 REIMBURSEMENT CONSULTING 147364 ADP INC PO BOX 9001006 LOUISVILLE KY 402901006 PAYROLL SERVICE 134772 5 240775 1123173 195106 1559054 NET RESIDENT SERVICE REV 623000 51664231 51664231 SUPPORT SERVICES - M&G 623000 1786532 1786532 SUPPORT SERVICES - PS 623000 1622065 1622065 55072828 380356 380356 43397 8754 34643 34643 34643 2163608 3000 1875218 0 288390 3000 291390 291390 64390 75473 -11083 -11083 MEAL REVENUE 900099 387645 387645 PCC- VNS LOSS SHARING 900099 226238 226238 SEGATE/RAHSA 900099 220541 2352 218189 146948 4739 142209 981372 58308560 55077567 2352 1669587 46149 46149 1033192 1033192 28632119 25547367 3084752 4318404 765881 3552523 3168416 558804 2609612 2095599 381271 1714328 206699 206699 46955 46955 37241 37241 1333323 787301 546022 41328 14850 26478 1189352 745422 443930 349126 349126 806226 806226 169817 88035 81782 420993 420993 3222643 3222643 234059 71506 162553 NY STATE ASSESSMENT ON 2427356 2427356 MEDICAL SUPPLIES 2401771 2401771 FOOD 1935279 1828004 107275 BAD DEBTS 1787684 1787684 2489732 1860675 629057 58393463 44111064 14282399 0 4000 5900 6729225 5051512 1123173 7764355 10999449 4804349 349382 387928 259001 250889 60340780 15683135 42681753 44657645 17413477 13638419 111248 168966 8381297 11779572 88498087 88063453 41923008 34324693 274475 412542 29886476 29495610 5016754 4781225 77100713 69014070 X 3709096 10904051 1822666 1849606 5865612 6295726 11397374 19049383 88498087 88063453 X -84903 883544 6853368 X 0 1 X 1 0 X 292065 105850 652394 9299132 1559054 11908495 47812550 48014000 44405393 56624367 55072828 251929138 48104615 48119850 45057787 65923499 56631882 263837633 0 0 0 263837633 497508 432144 530486 428302 488143 2376583 497508 432144 530486 428302 488143 2376583 1014014 726437 652909 750819 740850 3885029 49616137 49278431 46241182 67102620 57860875 270099245 0.97680 0.97550 0.00880 0.00890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 58661 58661 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: ST ANN'S HOME FOR THE AGED RETAINS THE SERVICES OF HINMAN STRAUB. HINMAN STRAUB PROVIDES LEGAL AND GOVERNMENTAL RELATIONS REPRESENTATION ON BEHALF OF ST ANN'S AND ITS VARIOUS AFFILIATE ORGANZIATIONS, ON ALL PROPOSED REGULATORY, LEGISLATIVE AND EXECUTIVE ACTIONS. SPECIFICALLY, ADVOCATING BEFORE THE STATE LEGISLATURE, THE GOVERNOR, OR APPROPRIATE STATE AGENCIES REGARDING ANY LEGISLATIVE, BUDGET OR ADMINISTRATIVE PROPOSAL AND ASSISTING ST ANN'S IN OBTAINING REGULATORY APPROVAL FOR OPERATION AND CAPITAL PROJECTS. TOTAL FEES PAID TO HINMAN STRAUB IN 2012 WERE $58,661 WHICH WAS RELATED TO LOBBYING WORK. 3898835 471796 4370631 4004185 -105350 3898835 3586951 417234 4004185 2886055 700896 3586951 4124084 -1238029 2886055 0.00000 1.00000 0.00000 0 0 122823 122823 35036843 8963995 26072848 20777672 6399501 14378171 4403442 319639 4083803 44657645 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 772361 DUE FROM AFFILIATES 5577346 BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 3014397 DEFERRED FINANCING COSTS, NET 1076736 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1338732 11779572 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 3107214 DUE TO AFFILIATES 48027 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 1625984 4781225 X 62637712 883544 6807219 7690763 54946949 37241 3324370 3361611 58308560 54985703 -3324370 -3324370 58310073 37241 46149 83390 58393463 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR ITS' CORPORATE PURPOSES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOME ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNIZED THRESHOLD IN 2012 AND 2011. THE HOME'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -137,385. PENSION LIABILITY ADJUSTMENT 6,207,573. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 267,130. CHNG IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 516,050. TRANSFER TO AFFILIATE (NETTED ON F/S) -46,149. PART XI, LINE 4B - OTHER ADJUSTMENTS: SUPPORT SERVICES - PS (INCLUDED IN EXP ON FS) 1,622,065. SUPPORT SERVICES - M&G (INCLUDED IN EXP ON FS) 1,786,532. RENTAL EXPENSES -8,754. GIFT SHOP EXPENSES -75,473. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUPPORT SERVICES - PS (INCLUDED IN EXP ON FS) -1,622,065. SUPPORT SERVICES - M&G (INCLUDED IN EXP ON FS) -1,786,532. RENTAL EXPENSES 8,754. GIFT SHOP EXPENSES 75,473. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFER TO AFFILIATE (NETTED ON F/S) 46,149. 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161494042 501(C)(3) 46149 CASH N/A FINANCIAL SUPPORT 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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 ELIZABETH MULLIN-DIPROSA 368446 0 70400 0 33882 0 37055 0 10809 0 520592 0 0 0 MICHAEL MCRAE 187423 0 26911 0 0 0 29455 0 12669 0 256458 0 0 0 DENNIS P KANT 214068 0 0 0 0 0 28751 0 13393 0 256212 0 0 0 DIANE KANE MD 265529 0 18644 0 0 0 39708 0 14741 0 338622 0 0 0 JOHN JURIK 189372 0 0 0 0 0 29358 0 10912 0 229642 0 0 0 ROBERT BOURG 130519 0 21724 0 0 0 19863 0 2210 0 174316 0 0 0 JARVIS SANCHEZ-RIVERA 173763 0 0 0 0 0 27294 0 11689 0 212746 0 0 0 MICHELE SINCLAIR 154992 0 18100 0 0 0 24683 0 12349 0 210124 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $6,168; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $19,628; AND CLUB MEMBERSHIP OF $474. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION IN 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 17159232 667401 656487 14220208 1619967 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 ST. ANN'S COMMUNITY BEGAN IMPLEMENTATION OF A MASTER PLAN TO TRANSFORM THE CARE WE PROVIDE DURING 2010. CONSTRUCTION AT OUR IRONDEQUOIT AND WEBSTER CAMPUSES WAS COMPLETED IN THE SPRING OF 2012. A NEW BUILDING HOUSES AN EXPANDED TRANSITIONAL CARE CENTER (NOW THE WEGMAN TRANSITIONAL CARE CENTER) AND PALLIATIVE CENTER FOR CARING (NOW THE LEO CENTER FOR CARING) ON THE IRONDEQUOIT CAMPUS AND A NEW BUILDING IN WEBSTER ALLOWED FOR THE RELOCATION OF SKILLED NURSING BEDS AND TRANSITIONAL CARE SERVICES TO THE CHERRY RIDGE CAMPUS. THE COMPLETION OF THESE BUILDINGS ALLOWED FOR THE CLOSURE AND DEMOLITION OF THE HERITAGE FACILITY IN JULY 2012. STAFF TRAINING AND PLANS HAVE TRANSFORMED THE DELIVERY OF CARE THROUGH THE ADOPTION OF PERSON-CENTERED CARE METHODS. FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORTS IS PREPARED BY ST ANN'S STAFF, PROVIDED AND REVIEWED BY PARENTEBEARD. FINAL REPORTS ARE REVIEWED BY THE ACCOUNTING TEAM, INCLUDING THE DIRECTOR 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 NOVEMBER 2013 EXECUTIVE COMMITTEE 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 EVERY 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. 2012 VPS AND CEO DATA REVIEWED; 2012 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -137,385. PENSION LIABILITY ADJUSTMENT 6,207,573. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 267,130. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. 516,050. ST ANN'S HOME 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