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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEDICATED NURSING ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6536 WILLIAM PENN HWY SUITE 201</AddressLine1Txt>
            <CityNm>DELMONT</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15626</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>1699135</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9801 WASHINGTON BOULEVARD</AddressLine1Txt>
            <CityNm>GAITHERSBURG</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20878</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RESIDENT MEAL SERVICES</ServicesDesc>
        <CompensationAmt>1046063</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>680 SOUTH FOURTH STREET</AddressLine1Txt>
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            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
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        </ContractorAddress>
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        <CompensationAmt>527146</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78232</ZIPCd>
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        </ContractorAddress>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>192216</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>37916</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>72256</GamingGrossIncomeAmt>
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      <NetIncomeFromGamingGrp>
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        <ExclusionAmt>34946</ExclusionAmt>
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        <Desc>OTHER OPERATING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>198098</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>198098</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>198098</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>17446491</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <TotalAmt>8190234</TotalAmt>
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        <FundraisingAmt>1788</FundraisingAmt>
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        <ProgramServicesAmt>494327</ProgramServicesAmt>
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        <ProgramServicesAmt>8942</ProgramServicesAmt>
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        <ProgramServicesAmt>374595</ProgramServicesAmt>
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        <ProgramServicesAmt>1205981</ProgramServicesAmt>
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        <TotalAmt>376351</TotalAmt>
        <ProgramServicesAmt>376351</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED MEDICAL SERVI</Desc>
        <TotalAmt>1126919</TotalAmt>
        <ProgramServicesAmt>1126919</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>733869</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>350232</TotalAmt>
        <ProgramServicesAmt>350232</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>334069</TotalAmt>
        <ProgramServicesAmt>171953</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <FundraisingAmt>1237</FundraisingAmt>
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        <ProgramServicesAmt>18470992</ProgramServicesAmt>
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        <EOYAmt>16285049</EOYAmt>
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        <EOYAmt>48431477</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-736534</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-5213490</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-65319</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
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      <SupportedOrgInformationGrp>
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      <SupportedOrgInformationGrp>
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      <SupportedOrganizationsTotalCnt>2</SupportedOrganizationsTotalCnt>
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        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
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        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
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        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. ANNE HOME PAYS DUES TO LEADING AGE PA. A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES. LEADING AGE PA USED 18% OF DUES FOR LOBBYING PURPOSES.</ExplanationTxt>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <BookValueAmt>595598</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>82456</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>427681</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>3038</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14720614</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-5213490</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>640494</OtherRevenueAmt>
      <RevenueNotReportedAmt>-4572996</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19293610</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>185773</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>185773</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19479383</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20143302</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>61315</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>61315</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>20081987</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>133930</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENTS IN ST. ANNE HOME'S NURSING FACILITY ARE OFFERED ACCESS AND USE OF BANKING SERVICES VIA THE RESIDENT TRUST FUND. THE PURPOSE OF THE FUND IS TO ACCURATELY, TIMELY, AND PROPERLY PROCESS BANKING AND ACCOUNTING TRANSACTIONS ASSOCIATED WITH THE RESIDENT TRUST FUND AND TO ESTABLISH AND MAINTAIN A SYSTEM THAT ASSURES A FULL AND COMPLETE AND SEPARATE ACCOUNTING OF EACH RESIDENT'S PERSONAL FUNDS ENTRUSTED TO THE FACILITY ON THE RESIDENT'S BEHALF.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME IS A NOT-FOR-PROFIT ORGANIZATION, AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITES STATES OF AMERICA REQUIRE THE HOME TO EVALUATE TAX POSITIONS TAKEN BY THE HOME AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HOME HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOME HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2019, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 24,005. GAMING DIRECT EXPENSES 37,310. NET ASSETS RELEASED FROM RESTRICTION 20,657. PENSION BENEFIT 558,522.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED CONTRIBUTION INCOME 51,843. DEVELOPMENT EXPENSES 133,930.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 24,005. GAMING DIRECT EXPENSES 37,310.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEVELOPMENT EXPENSES 133,930.</ExplanationTxt>
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        <GrossRevenueOtherGamingAmt>72256</GrossRevenueOtherGamingAmt>
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        <GrossRevenueTotalGamingAmt>72256</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>37310</CashPrizesTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>37310</DirectExpenseSummaryGamingAmt>
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      <StatesWhereGamingConductedCd>PA</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.60000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.40000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>JEFFREY S LONG</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>685 ANGELA DRIVE</AddressLine1Txt>
        <CityNm>GREENSBURG</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>15601</ZIPCd>
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        <PersonNm>JEFFREY S LONG</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID J WARD</PersonNm>
        <TitleTxt>DIRECTOR, SOLE MEMBER MINISTRY</TitleTxt>
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        <BondIssuedDt>2015-09-25</BondIssuedDt>
        <IssuePriceAmt>16171000</IssuePriceAmt>
        <PurposeDesc>ADDITION OF 30 ROOMS AND FACILITY RENOVATIONS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2806188</RetiredAmt>
        <TotalProceedsAmt>12258128</TotalProceedsAmt>
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        <IssuanceCostsFromProceedsAmt>113690</IssuanceCostsFromProceedsAmt>
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        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>RAIMONDO CONSTRUCTION CO INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAVID RAIMONDO, BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>101102</TransactionAmt>
        <TransactionDesc>CONSTRUCTION SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE CORPORATION IS FELICIAN SERVICES, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION. THE SOLE MEMBER HAS RESERVED POWERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>FELICIAN SERVICES INC., THE SOLE MEMBER, MAY APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER SHALL HAVE THE SOLE AUTHORITY TO INITIATE AND APPROVE THE FOLLOWING ACTIONS: (A) TO ADOPT, ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (B) TO ADOPT OR REVISE THE STATEMENTS OF PHILOSOPHY, MISSION, OR PURPOSE OF THE CORPORATION; (C) TO MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS (OTHER THAN TRADE OBLIGATIONS INCURRED IN THE REGULAR COURSE OF BUSINESS), GUARANTEE ANY INDEBTEDNESS OF ANOTHER ENTITY, OR ALLOW ANY PROPERTY OF THE CORPORATION TO SECURE ANY INDEBTEDNESS; (F) TO APPROVE THE PURCHASE, TRANSFER, SALE, LONG-TERM LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; (G) TO APPROVE THE CREATION OF, OR THE PURCHASE OF AN EQUITY INTEREST IN, ANY LEGAL ENTITY, OR TO APPROVE ENTERING INTO ANY PARTNERSHIP OR JOINT VENTURE (REGARDLESS OF ITS LEGAL FORM), OTHER THAN PASSIVE INVESTMENTS BY THE CORPORATION; (H) TO APPROVE AN ANNUAL OPERATING BUDGET, AND ANY CAPITAL BUDGET, OF THE CORPORATION; (I) TO APPROVE ANY UNBUDGETED OPERATING OR CAPITAL EXPENDITURES IN EXCESS OF $100,000; (J) TO APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (K) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD; (L) TO APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; (M) TO APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION; (N) TO ASSURE THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE PURPOSES OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE; (O) TO CARRY OUT PERIODIC EVALUATIONS OF THE CORPORATION AND TO OTHERWISE MONITOR THE ACCOMPLISHMENT OF THE GOALS AND THE ADHERENCE TO THE PHILOSOPHY OF THE CORPORATION; (P) TO APPROVE THE LONG-TERM AND STRATEGIC PLANS OF THE CORPORATION; AND (Q) TO APPROVE ANY ACTS OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND CEO AND THE DIRECTOR OF ACCOUNTING SERVICES PERFORMED A DETAILED REVIEW OF THE FORM 990. EACH MEMBER OF THE BOARD OF DIRECTORS WAS PRESENTED WITH AN ELECTRONIC COPY OR PAPER COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, HAS COMPLETED THE ST. ANNE HOME CONFLICT INTEREST STATEMENT, AND UNDERSTANDS THAT ST. ANNE HOME IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE A REVIEW OF A SUMMARY OF ALL THE COMPLETED ANNUAL CONFLICT OF INTEREST STATEMENTS MADE BY ALL BOARD MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTEREST PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A RANGE IS ESTABLISHED FOR EACH POSITION BASED ON COMPARABLE DATA, AND COMPENSATION IS INCREASED BASED ON EITHER PRE-DETERMINED AMOUNTS BASED ON A PERFORMANCE REVIEW, AND/OR A MARKET ADJUSTMENT BASED ON UPDATED COMPARABLE DATA. THIS PROCESS IS UNDERTAKEN ANNUALLY AT THE END OF EACH CALENDAR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 2,262,753. MANAGEMENT AND GENERAL EXPENSES 174,901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,437,654.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENT -65,319.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF OUR CONTINUING CARE RETIREMENT COMMUNITY, WE ALSO OFFER PRIVATE AND AFFORDABLE INDEPENDENT LIVING WITH SUPPORTIVE SERVICES IN TWO-BED ROOM RESIDENTIAL HOMES THAT ARE WITHIN WALKING DISTANCE TO OUR MAIN CAMPUS. ST. ANNE HOME'S THREE LARGEST PROGRAM SERVICES BY EXPENSE ARE: 1) NURSING CARE/REHABILITATIVE SERVICES; 2) PERSONAL CARE SERVICES; 3) INDEPENDENT LIVING CARE, ALL OF WHICH IS IN THE CONTEXT OF A CONTINUING CARE RETIREMENT COMMUNITY. THE FOLLOWING NARRATIVE DETAILS THE EXEMPT PURPOSE ACHIEVEMENTS OF THESE MAJOR PROGRAMS. AT ST. ANNE HOME, WE STRIVE TO PROVIDE THE HIGHEST QUALITY OF CAREGIVING SERVICES IN A CHRISTIAN ENVIRONMENT AND TO SERVE THOSE WITH LIMITED FUNDS TO THE BEST OF OUR ABILITY. THE CHARITY CARE THAT WE HAVE PROVIDED DURING THE YEAR ENDED JUNE 30, 2022, WAS VALUED AT $3,447,122.49. THIS CHARITY CARE HELPED 199 NURSING HOME AND 3 VILLA ANGELA RESIDENTS TO CONTINUE TO RECEIVE CARE AND SERVICES IN OUR NURSING FACILITY AND OR PERSONAL CARE HOME. OUR WAITING LIST FOR BOTH SKILLED NURSING AND PERSONAL CARE REFLECTS THE FINE REPUTATION WE HAVE ESTABLISHED AMONG THE LONG-TERM CARE COMMUNITY AND OUR SUCCESS IN MEETING THE NEEDS OF OUR RESIDENTS. IN ADDITION TO THE CHARITABLE AND SUPERIOR CARE PROVIDED TO OUR RESIDENTS, ST. ANNE HOME IS ALSO PROUD OF OUR RELIGIOUS PROGRAMS PROPAGATING THE CATHOLIC FAITH OF THE FELICIAN SISTERS OF NORTH AMERICA. WE OFFER A COMPREHENSIVE SPIRITUAL CARE PROGRAM, INCLUDING A CHAPLAIN AND SISTERS WHO RESIDE ON CAMPUS AND ARE AVAILABLE AT ALL TIMES. RESIDENTS ARE ENCOURAGED TO ATTEND DAILY RELIGIOUS SERVICES IN OUR LARGE, WELL-MAINTAINED CHAPEL WITH A 32-FOOT CATHEDRAL CEILING, WHERE (PRIOR TO THE COVID-19 PANDEMIC) ON AN AVERAGE DAY OVER 60 RESIDENTS, FAMILY MEMBERS, AND STAFF ARE COMFORTED BY ITS SPIRITUAL BENEFITS. THE CHAPEL CAPACITY FOR DAILY MASS HAS BEEN LIMITED SO THAT PHYSICAL DISTANCING COULD BE MAINTAINED. THERE ARE ALSO MANY OTHER SPIRITUAL PROGRAMS OFFERED INCLUDING: ANOINTING OF THE SICK, MAY CROWNING, MEMORIAL SERVICES, JOURNEY TO A NEW LIFE, AND ECUMENICAL SERVICES. MANY STAFF, VISITORS, AND RESIDENT FAMILY MEMBERS CONTINUALLY COMMENT THAT THE JOURNEY TO A NEW LIFE IS A WONDERFULLY DIGNIFIED AND RESPECTFUL WAY FOR A RESIDENT WHO HAS PASSED TO DEPART ST. ANNE HOME. THIS CEREMONY GIVES CLOSURE TO THE STAFF AND GIVES THEM THE OPPORTUNITY TO SAY ONE FINAL GOOD-BYE TO THE RESIDENTS THAT THEY BECAME SO CLOSE TO WHILE THEY WERE IN THEIR CARE. ADDITIONALLY, ST. ANNE HOME HAS IMPLEMENTED EDUCATIONAL PROGRAMS FOR OUR EMPLOYEES CONCERNING THE FELICIAN SISTERS OF NORTH AMERICA'S CORE VALUES OF MINISTRY: RESPECT FOR HUMAN DIGNITY, COMPASSION, SOLIDARITY WITH PEOPLE IN NEED, TRANSFORMATION, AND JUSTICE AND PEACE. WE FEEL THAT THESE CONTINUING EDUCATION PROGRAMS FOR STAFF WILL RESULT IN A DEEPER UNDERSTANDING AND APPRECIATION FOR THE MISSION AND VALUES OF ST. ANNE HOME. WHEN IT COMES TO STAFFING, ST. ANNE HOME MAKES IT A PRIORITY TO PROVIDE HIGH LEVEL, CLINICAL TRAINING TO ALL EMPLOYEES, IN ORDER TO ADVANCE OUR EXEMPT PURPOSES. EMPLOYEE TURNOVER RATES CONTINUE TO REMAIN WELL BELOW INDUSTRY STANDARD. CURRENTLY, 60 EMPLOYEES HAVE 10 YEARS OF SERVICE OR MORE AND OF THOSE, 25 EMPLOYEES HAVE 20 YEARS OF SERVICE OR MORE, 11 HAVE 30 YEARS OF SERVICE OR MORE, AND 4 HAVE 40 YEARS OF SERVICE OR MORE. WE ARE PROUD THAT OUR EMPLOYEES CHOOSE TO STAY AT ST. ANNE HOME, AS THIS STABILITY TRANSLATES INTO BETTER CARE FOR OUR RESIDENTS AND THEIR FAMILY MEMBERS. WE ALSO ENCOURAGE OUR EMPLOYEES TO TAKE ADVANTAGE OF OUR EMPLOYER PAID TUITION REIMBURSEMENT PROGRAM, WHICH ALLOWS STAFF MEMBERS TO ADVANCE THEIR SKILLS IN THEIR CURRENT PROFESSION OR EXPLORE A NEW CAREER. THROUGH THE PROMOTION OF PERSONAL DEVELOPMENT, ST. ANNE HOME HOPES TO PROVIDE BETTER CAREGIVERS FOR OUR RESIDENTS AND THEIR FAMILY MEMBERS AS WELL AS STRENGTHEN OUR COMMUNITY'S WORKFORCE ST. ANNE HOME ALSO REACHES OUT TO THE COMMUNITY IN MANY WAYS BEYOND THE SERVICES WE OFFER TO OUR RESIDENTS. ST. ANNE HOME HAS DONATED TIME, SUPPORT, AND FINANCIAL RESOURCES TO THE FOLLOWING ORGANIZATIONS IN THE PAST FISCAL YEAR: JEANNETTE MIDGET ATHLETIC ASSOCIATION, ROTARY CLUB OF GREENSBURG, BROTHER'S BROTHER FOUNDATION, DIOCESE OF GREENSBURG CATHOLIC CHARITIES, THE ALZHEIMER'S ASSOCIATION, AND EXCELA HEALTH HOME CARE AND HOSPICE, AND SISTERS OF CHARITY OF SETON HILL. OUR NURSE AIDE TRAINING PROGRAM, APPROVED BY THE PENNSYLVANIA DEPARTMENT OF EDUCATION, HAS PROVIDED AN OPPORTUNITY FOR STUDENTS TO EITHER CHANGE THEIR CAREER OR START A NEW ONE BY BECOMING A NURSE AIDE. IN THE YEAR ENDING JUNE 30, 2022, A TOTAL OF 18 STUDENTS WERE ENROLLED AND A TOTAL OF 13 STUDENTS SUCCESSFULLY COMPLETED THE PROGRAM BY EARNING NURSE AIDE CERTIFICATION. ST. ANNE HOME ALSO SERVES AS A COMMUNITY COLLECTION SITE FOR RECYCLED PAPER. REUSABLE MATERIALS AND SUPPLIES SUCH AS ELECTRONICS, CARDBOARD, PAPER, AND PRINTER CARTRIDGES THAT ARE USED IN THE FACILITY ARE RECYCLED. ST. ANNE HOME DONATED 120 CANS OF FOOD TO THE LATROBE UNITED METHODIST CHURCH THAT SERVES MEALS TO PEOPLE IN NEED. ST. ANNE HOME RESIDENTS MADE 60 PET BEDS AND TOYS (WITH DONATED FLEECE AND FILL) TO DONATE TO THE WESTMORELAND/FAYETTE/ALLEGHENY COUNTY ANIMAL RESPONSE TEAM (CART). IN ADDITION, THROUGH SUPPORT THROUGH THE CRISIS EMPLOYEE SUPPORT PROGRAM (CRESP), FREE MENTAL HEALTH WORKSHOPS AND SUPPORT WERE MADE AVAILABLE TO THE ST. ANNE HOME EMPLOYEES. THIS SUPPORT WAS MADE POSSIBLE BY A $250,000 GRANT RECEIVED BY THE RICHARD KING MELLON FOUNDATION THROUGH A COLLABORATIVE EFFORT OF THE HEALTH CARE COUNCIL OF WESTERN PENNSYLVANIA, CEO JEFF S. LONG, AND NINE OTHER FAITH BASED LONG-TERM CARE MEMBERS. ST. ANNE HOME ISSUED FINANCIAL SUPPORT TO THE ROTARY CLUB OF GREENSBURG TO SUPPORT THEIR ANNUAL GOLF OUTING, WHICH RAISES FUNDS TO PROVIDE SCHOLARSHIPS TO GRADUATING SENIORS. IN OCTOBER 2021, ST. ANNE HOME DONATED 14 ELECTRIC HOSPITAL BEDS TO THE BROTHER'S BROTHER FOUNDATION. IN DECEMBER 2021 AND JANUARY 2022, ST. ANNE HOME DONATED 3 ADDITIONAL HOSPITAL BEDS TO THE BROTHER'S BROTHER FOUNDATION TO SUPPORT THEIR LIFE SUSTAINING MISSION OF PROVIDING MEDICAL SUPPLIES AND OTHER HUMANITARIAN NEEDS TO PEOPLE AROUND THE WORLD. EACH YEAR AS PART OF OUR SOLIDARITY WITH PEOPLE IN NEED VALUE WE TYPICALLY TAKE PART IN OUR "ADOPT A FAMILY FOR CHRISTMAS PROGRAM". THIS YEAR WE DECIDED TO REACH OUT AND HELP OUR OWN FAMILY WITH OUR "RESIDENT CHRISTMAS WISH PROGRAM". TYPICALLY, IN PRIOR YEARS VARIOUS COMMUNITY GROUPS AND INDIVIDUALS WILL "ADOPT" RESIDENTS AND PURCHASE A CHRISTMAS GIFT OR TWO OR THREE FOR THEM. THIS YEAR OUR EMPLOYEES HELPED FILL IN THE GAPS TO ENSURE ALL NURSING FACILITY AND PERSONAL CARE HOME RESIDENTS RECEIVED A CHRISTMAS GIFT. OUR EMPLOYEES PURCHASED GIFTS FOR 25 RESIDENTS. APPROXIMATELY $25 TO $30 DOLLARS WAS SPENT ON EACH OF THE 25 RESIDENTS WITH THE TOTAL VALUE BEING $750. ITEMS PURCHASED WERE SWEATERS, PAJAMAS, SWEATSHIRTS, TOPS, HATS, BODY LOTIONS, PERFUMES, SOCKS, DECORATIONS FOR THEIR ROOMS, ROBES, BLANKETS, THROWS, CANDY, COOKIES, POP, SNACK FOODS, ETC. EACH RESIDENT WAS ASKED TO GIVE 3 GIFT SUGGESTIONS OF ITEMS THEY WANTED OR NEEDED FOR CHRISTMAS. THIS IS DONE EACH YEAR WITH OUR CHRISTMAS WISH PROGRAM. THESE SUGGESTIONS WERE PUT ONTO TAGS AND HUNG ON A BOARD PLACED BY THE TIMECLOCK. THE RESIDENTS AND FAMILIES WERE VERY HAPPY AND APPRECIATIVE OF ALL GIFTS RECEIVED AND PARTICIPATION FROM THE STAFF WAS OUTSTANDING. THE STAFF COMMENTED HOW NICE IT WAS TO HELP OUR RESIDENTS AND WERE EXCITED ABOUT PURCHASING THE GIFTS. IN ADDITION TO THIS A SOCK DRIVE WAS HELD TO HELP CHILDREN IN NEED. OUR EMPLOYEES PURCHASED SOCKS FOR NEEDY CHILDREN. APPROXIMATELY 500 SOCKS WERE COLLECTED AND DELIVERED TO LAFAYETTE SCHOOL IN UNIONTOWN. THEY WERE VERY MUCH APPRECIATED. ST. ANNE HOME MADE CHARITABLE CONTRIBUTIONS TOTALING $33,525 DURING THE FISCAL YEAR. IN ADDITION, ST. ANNE HOME HAS BEEN COMMITTED TO PROVIDING REWARDING VOLUNTEER OPPORTUNITIES THAT POSITIVELY IMPACT THE LIVES OF OUR RESIDENTS AND THOSE THAT GIVE THEIR TIME. A TOTAL OF 14 VOLUNTEERS GAVE 6,291 HOURS OF SERVICE IN THE YEAR ENDING JUNE 30, 2022. THESE VOLUNTEERS INCLUDED ST. ANNE HOME'S FRIENDS, AND EMPLOYEES. THE COVID-19 PANDEMIC SIGNIFICANTLY REDUCED THE NUMBER OF VOLUNTEER OPPORTUNITIES DUE TO VISITATION RESTRICTIONS DURING HIGH COVID-19 TRANSMISSION RATES IN WESTMORELAND AND SURROUNDING COUNTIES. FINALLY, IN MARCH 2022 ST. ANNE HOME STAFF PARTNERED WITH SAINT VINCENT COLLEGE AND COLLECTED MUCH NEEDED SUPPLIES TO HELP THE UKRAINIAN REFUGEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SUMMARY, OUR ACHIEVEMENTS ADVANCED CHARITABLE PURPOSES THROUGH THE CARE PROVIDED TO RESIDENTS REQUIRING FINANCIAL ASSISTANCE, ADVANCED RELIGIOUS PURPOSES THROUGH PROPAGATION OF THE CATHOLIC FAITH OF THE FELICIAN SISTERS OF NORTH AMERICA, ADVANCED EDUCATION THROUGH THE CLINICAL TRAINING AND TUITION REIMBURSEMENT PROGRAM OFFERED TO EMPLOYEES, AND LESSENED GOVERNMENTAL BURDENS VIA PROVIDING EMPLOYMENT OPPORTUNITIES TO INDIVIDUALS WITH DISABILITIES, SERVING AS A COMMUNITY COLLECTION SITE, MAKING CHARITABLE CONTRIBUTIONS SUPPORTING OTHER LOCAL NON-PROFITS, PARTNERING WITH THE COMMUNITY TO ENHANCE RESIDENT SAFETY, AND PROVIDING A NUMBER OF SPECIFIC, FOCUSED PROGRAMS TO BENEFIT PERSONS WITHIN OUR COMMUNITY AND BEYOND. BY CONTINUALLY EVALUATING AND REFINING OUR CARE, SERVICES AND PROGRAMS, ST. ANNE HOME WILL REMAIN THE LEADING RESOURCE FOR THE CLINICAL, ETHICAL, AND SPIRITUAL ISSUES OF AGING AND A PREMIER PROVIDER OF CARE AND SUPPORTIVE SERVICES IN THE CITY OF GREENSBURG, WESTMORELAND COUNTY AND SURROUNDING COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
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