2013-11-08T16:06:36-06:00 2012-12-31 232932984 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2012-01-01 161489340 CHAPEL OAKS INC CHAP 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT 5856976000 2013-11-08 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-25 16:41:14Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 4124887 0 X WWW.STANNSCOMMUNITY.COM X 1995 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS VIA HOUSING & SUPPORT SERVICES. 6 5 44 22 0 0 2540 37091 3928739 3789148 20722 16730 325284 279510 4277285 4122479 0 0 0 0 1198369 1212503 0 0 0 2484910 2489370 3683279 3701873 594006 420606 17527278 17581214 10888220 10525419 6639058 7055795 X OUR MISSION IS 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 IN THE GREATER ROCHESTER AREA. ST. ANN'S COMMUNITY (OTHERWISE KNOWN AS ST ANN'S OF GREATER ROCHESTER) DELIVERS THESE SERVICES THROUGH AFFILIATED ORGANIZATIONS: ST. ANN'S HOME FOR THE AGED, ST. ANN'S NURSING HOME COMPANY, INC., ST. ANN'S FOUNDATION, INC., ST. ANN'S SENIOR HOUSING, INC. AND CHAPEL OAKS, INC. CHAPEL OAKS, INC. OFFERS 120 MARKET RATE RENTAL APARTMENTS FOR RETIREMENT LIVING WITH SUPPORTIVE SERVICES. THESE INCLUDE AN ON-SITE OUTPATIENT GERIATRIC PRIMARY CARE PRACTICE FOR THE RESIDENTS, WHO ALSO HAVE PRIORITY ACCESS TO ST. ANN'S CARE CONTINUUM. 0 0 2864178 3789148 CHAPEL OAKS INC. OFFERS 120 MARKET RATE RENTAL APARTMENTS FOR RETIREMENT LIVING WITH SUPPORTIVE SERVICES THAT INCLUDE MEALS, TRANSPORTATION, SOCIAL AND CULTURAL ACTIVITIES AND AN ON-SITE FITNESS ROOM AND SALON. DURING 2012 CHAPEL OAKS PROVIDED 39,828 DAYS OF HOUSING TO SENIORS IN THE GREATER ROCHESTER AREA. 2864178 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 7 0 1 44 1 0 0 0 0 0 0 0 0 0 0 X 6 5 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 ELIZABETH MULLIN-DIPROSA 2.00 38.00 X X 0 472728 47864 ANN M MCCORMICK 1.00 39.00 X X 0 0 0 TIMOTHY WHITE 1.00 39.00 X X 0 0 0 PATRICK BURKE 1.00 39.00 X X 0 0 0 MARIE CATAGNARO 1.00 39.00 X X 0 0 0 MAGGIE BRINGEWATT 1.00 39.00 X X 0 0 0 DENNIS P KANT 2.00 38.00 X 0 214068 42144 MICHAEL MCRAE 0.00 40.00 X 0 214334 42054 JOHN JURIK 0.00 40.00 X 0 189372 40270 JARVIS RIVERA-SANCHEZ 0.00 40.00 X 0 173763 38983 ROBERT BOURG 1.00 39.00 X 0 152243 22073 MICHELE SINCLAIR 0.00 40.00 X 0 173092 37032 DIANE KANE MD 0.00 40.00 X 0 284173 54449 0 1873773 324869 0 0 1 0 0 37091 37091 RENTAL REVENUE 623000 3710850 3710850 OTHER RESIDENT SERVICE 623000 78298 78298 3789148 16553 16553 1506 1093 413 413 413 1328 1151 177 177 177 5464 164 5300 5300 DINING ROOM REVENUE 722210 258401 258401 MISCELLANEOUS 900099 14033 14033 PURCHASE REBATES 900099 1363 1363 273797 4122479 3789148 0 296240 897858 667113 230745 142088 105572 36516 106732 79302 27430 65825 48909 16916 369627 50054 319573 12611 12611 64299 58454 5845 74382 74382 67818 41166 26652 184468 184468 2041 210 1831 687156 687156 639560 639560 62411 62411 FOOD 187443 187443 LICENSES AND TAXES 69367 50185 19182 EQUIPMENT RENTAL & MAIN 30914 30914 TRUSTEE FEES 13189 13189 24084 20483 3601 3701873 2864178 837695 0 115 200 5753965 5915871 2812 3041 13576 13819 19422 13553 18211306 8286028 10036405 9925278 1234895 1237045 466088 472407 17527278 17581214 540415 622844 9990000 9540000 357805 362575 10888220 10525419 X 6639058 7055795 6639058 7055795 17527278 17581214 420606 -3869 0 X 0 1 X 1 0 X 3243 1496 3990 2540 37091 48360 4173884 4004583 3961097 3928739 3789148 19857451 4177127 4006079 3965087 3931279 3826239 19905811 0 0 0 19905811 175349 64007 35273 24899 18059 317587 175349 64007 35273 24899 18059 317587 6240 5587 63086 319175 273797 667885 4358716 4075673 4063446 4275353 4118095 20891283 0.95280 0.95530 0.01520 0.02560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1648325 1648325 13767104 7046266 6720838 1179248 606850 572398 1616629 632912 983717 9925278 DUE TO AFFILIATE 15761 SECURITY DEPOSITS 346814 362575 X 4117022 -3869 -3869 4120891 2845 -1257 1588 4122479 3700285 1257 1257 3699028 2845 2845 3701873 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: CHAPEL OAKS 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. CHAPEL OAKS' FEDERAL RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -1,093. COST OF GOODS SOLD -164. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,093. COST OF GOODS SOLD 164. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 ELIZABETH MULLIN-DIPROSA 0 368446 0 70400 0 33882 0 37055 0 10809 0 520592 0 0 DENNIS P KANT 0 214068 0 0 0 0 0 28751 0 13393 0 256212 0 0 MICHAEL MCRAE 0 187423 0 26911 0 0 0 29455 0 12599 0 256388 0 0 JOHN JURIK 0 189372 0 0 0 0 0 29358 0 10912 0 229642 0 0 JARVIS RIVERA-SANCHEZ 0 173763 0 0 0 0 0 27294 0 11689 0 212746 0 0 ROBERT BOURG 0 130519 0 21724 0 0 0 19863 0 2210 0 174316 0 0 MICHELE SINCLAIR 0 154992 0 18100 0 0 0 24683 0 12349 0 210124 0 0 DIANE KANE MD 0 265529 0 18644 0 0 0 39708 0 14741 0 338622 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. 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 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 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 V, LINE 2A: ALL INDIVIDUALS WORKING AT CHAPEL OAKS, INC. ("CO") 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 CO'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT BY THE SHARED EMPLOYEES. SAH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. ST ANN'S HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 SKILLED NURSING HOME NY 501(C)(3) 3 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S HOME FOUNDATION INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161379536 PROVIDE FINANCIAL SUPPORT FOR ST. ANN'S COMMUNITY 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 SKILLED NURSING HOME 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 PARENT CORPORATION PROVIDING SUPPORT FOR ST. ANN'S COMMUNITY NY 501(C)(3) 11B N/A 0 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 SENIOR INDEPENDENT LIVING HOUSING NY 501(C)(3) 9 ST ANN'S OF GREATER ROCHESTER INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1