2023-11-13T08:22:40-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 161502303 THE MEADOWS AT WESTFALL INC MEAD 5854427960 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 CARRIE FULLER-SPENCER CHIEF FINANCIAL OFFICER 5854427960 2023-11-07 1 CARRIE FULLER-SPENCER 999009999 0 KELLEY DEMONTE P01382609 5853811000 2023-11-07 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE HIGHLANDS AT BRIGHTON CARRIE FULLER-SPENCER 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 16669111 0 X HTTPS://WWW.URMEDICINE.ORG X 1996 NY TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 145 BED SKILLED-NURSING FACILITY. 8 7 402 0 0 0 3524570 1586696 12957548 14970099 2084 188 378123 112128 16862325 16669111 0 0 0 0 13965019 16821792 0 0 0 9465893 8235848 23430912 25057640 -6568587 -8388529 12602900 11795808 13224683 15346232 -621783 -3550424 TO PROVIDE A CARING, COMPASSIONATE AND QUALITY-FOCUSED LIVING ENVIRONMENT IN A 145 BED SKILLED-NURSING FACILITY. 0 0 23474430 14970099 OPERATE A 145 BED SKILLED-NURSING FACILITY AT 90.75% OCCUPANCY WITH 48,029 NUMBER OF DAYS SERVED. 23474430 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 0 402 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ELIZABETH NESSLE 5856416324 5901 LAC DE VILLE BLVD ROCHESTER NY 14618 MICHAEL P RIORDAN BOARD CHAIR 1.00 X X 0 0 0 ELIZABETH GARRETT BOARD MEMBER 1.00 X 0 0 0 WILLIAM J HALL MD BOARD MEMBER 1.00 X 0 0 185 ROBERT LATELLA BOARD MEMBER 1.00 X 0 0 0 ROBBIE MAGEE BOARD MEMBER 1.00 X 0 0 0 GERALD VAN STRYDONK BOARD MEMBER 1.00 X 0 0 0 JAMES MOORE BOARD MEMBER 1.00 X 0 0 0 ROBERT MCCANN MD BOARD MEMBER 1.00 60.00 X 0 498470 59743 VALERIE C BENJAMIN BOARD MEMBER 1.00 X 0 0 0 STEVEN I GOLDSTEIN PRESIDENT 1.00 70.00 X 0 3306548 209673 CARRIE FULLER-SPENCER ASSOCIATE VP AND CFO 1.00 63.00 X 0 518856 90259 WALT WINIARCZYK ADMINISTRATOR 45.00 X 174441 0 21245 ADAM ANOLIK FORMER EXECUTIVE VP & CFO 1.00 63.00 X 0 790685 159345 174441 5114559 540450 1 1 1 0 SYSCO FOOD SERVICE OF SYRACUSE 2508 WARNERS RD WARNERS NY 13164 276351 AID TO HOSPITALS INC 45 MCKEE RD ROCHESTER NY 14611 254615 US FOOD SERVICES 1250 SCOTTSVILLE RD ROCHESTER NY 14624 164655 MEDICAL STAFFING NETWORK 95 CANAL LANDING BLVD 11 ROCHESTER NY 14626 158062 CIGNA LIFE INSURANCE CO OF NORTH AMERIC 140 EAST 45TH STREET NEW YORK NY 10017 114415 5 1586696 1586696 RESIDENT SERVICE REVENUE 900099 14970099 14970099 14970099 188 188 40900 0 40900 40900 40900 MISCELLANEOUS 900099 71228 71228 71228 16669111 14970099 0 112316 14031497 13335872 695625 158415 150561 7854 1532202 1456337 75865 1099678 1045065 54613 72893 72893 22500 22500 599835 543338 56497 7635 5756 1879 75121 75121 1587927 1429134 158793 54059 48653 5406 NON MEDICAL SUPPLIES 1519649 1180672 338977 PROFESSIONAL SERVICES 1504320 1504320 BAD DEBTS 1258080 1258080 MEDICAL SUPPLIES 1233829 1233829 300000 282813 17187 25057640 23474430 1583210 0 568312 833106 2427522 2576991 184274 133500 9364397 5267278 4471161 4097119 4951631 4155092 12602900 11795808 615442 494637 2732143 2142881 9877098 12708714 13224683 15346232 X -621783 -3550424 -621783 -3550424 12602900 11795808 X -8388529 5459888 X X 0 1 X 1 0 X 3841 520 3466059 3524570 1586696 8581686 16534281 16354456 13613352 12957548 14970099 74429736 16538122 16354976 17079411 16482118 16556795 83011422 0 0 0 83011422 41011 39856 18136 19959 41088 160050 41011 39856 18136 19959 41088 160050 386107 865658 159311 360248 71228 1842552 16965240 17260490 17256858 16862325 16669111 85014024 0.97640 0.97690 0.00190 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 899333 899333 5704734 3365950 2338784 2760330 1901328 859002 4097119 RESIDENT ACCOUNT HELD IN TRUST 72239 OTHER NON CURRENT ASSET 118772 ASSETS HELD BY TRUSTEE UNDER LEASE AGREEMENT 441530 DUE FROM RELATED PARTIES 37894 RIGHT OF USE ASSET 3228475 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 256182 4155092 ACCRUED PAYROLL AND EMPLOYEE BENEFITS 1181069 DUE TO RELATED PARTIES 4838922 CURRENT PORTION OF ACCRUED WORKERS COMPENSATION 86084 OTHER CURRENT LIABILITIES 133117 RESIDENT ACCOUNTS HELD IN TRUST 72239 DUE TO RELATED PARTIES , NET OF CURRENT PORTION 680689 ACCRUED WORKERS COMPENSATION NET OF CURRENT PORTION 555688 WORKING CAPITAL LOAN FROM UNIVERSITY OF ROCHESTER 5160906 12708714 16669111 0 16669111 0 16669111 25057640 0 25057640 0 25057640 0 1 0 0 0 0 0 0 0 STEVEN I GOLDSTEIN PRESIDENT 0 1509252 0 0 0 1797296 0 188712 0 20961 0 3516221 0 1749057 ADAM ANOLIK FORMER EXECUTIVE VP & CFO 0 777736 0 0 0 12949 0 129312 0 30033 0 950030 0 0 CARRIE FULLER-SPENCER ASSOCIATE VP AND CFO 0 517401 0 0 0 1455 0 57822 0 32437 0 609115 0 0 ROBERT MCCANN MD BOARD MEMBER 0 494955 0 0 0 3515 0 36333 0 23410 0 558213 0 0 WALT WINIARCZYK ADMINISTRATOR 174441 0 0 0 0 0 3900 0 17345 0 195686 0 0 0 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, THE QUESTION HAS BEEN LEFT UNANSWERED. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPATION FORM 990, SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN I. GOLDSTEIN SERP PLAN $159,400 ROBERT MCCANN, MD SERP PLAN $12,800 ADAM ANOLIK SERP PLAN $100,000 CARRIE FULLER-SPENCER SERP PLAN $25,000 PURSUANT TO THE UNIVERSITY'S IRC SECTION 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PARTICIPANTS ARE ENTITLED TO DISTRIBUTIONS FROM THE PLAN UPON THE OCCURRENCE OF CERTAIN VESTING EVENTS. THE FOLLOWING INDIVIDUALS MET THE VESTING CONDITIONS UNDER THE PLAN AND RECEIVED DISTRIBUTIONS IN CALENDAR YEAR 2022, WHICH ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III) AS OTHER REPORTABLE COMPENSATION: STEVEN GOLDSTEIN 457 (F) PLAN 1,701,399 THESE AMOUNTS REPRESENT EMPLOYEE DEFERRALS OF COMPENSATION, PLUS INVESTMENT EARNINGS, OVER SEVERAL YEARS THAT VESTED AND WERE PAID PURSUANT TO THE REQUIREMENTS OF THE PLAN. THE EMPLOYEE DEFERRALS WERE REPORTED AS DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C IN PRIOR YEARS AND ARE ALSO REFLECTED, NET OF INVESTMENT EARNINGS, IN SCHEDULE J, PART II, COLUMN (F). FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS,HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION 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 THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS,HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION 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 7B THE SOLE MEMBER OF THE MEADOWS AT WESTFALL, INC ("MAW") IS STRONG PARTNERS HEALTH SYSTEM, INC ("SPHS"). SPHS, ACTING THROUGH ITS BOARD OF DIRECTORS,HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF MAW, AND CERTAIN DECISIONS OF THE MAW BOARD ARE SUBJECT TO THE APPROVAL OF THE SPHS BOARD. SUCH DECISIONS INCLUDE APPOINTMENT OF THE MAW PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION 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 B, LINE 11B MAW'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND IS REVIEWED BY SENIOR MANAGEMENT PRIOR TO FILING. THE FORM 990 WAS PROVIDED TO MAW'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, COMMITTEE MEMBERS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH MAW THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE BOARD CHAIR AND LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY A BOARD COMMITTEE. THE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO MAW AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTEREST OF MAW. FORM 990, PART VI, SECTION B, LINE 15 WRITTEN SELF-EVALUATIONS AND PERFORMANCE EVALUATIONS FOR MAW OFFICERS AND THE ADMINISTRATOR ANNUALLY ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD. THE COMMITTEE HAS AVAILABLE EVALUATIONS FROM THE CEO OF URMC HEALTH SYSTEM FOR THE OFFICERS, AND FROM MAW'S CEO FOR THE ADMINISTRATOR. THE COMMITTEE REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND THE ADMINISTRATOR AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL, REGIONAL AND NATIONAL COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 MAW'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. MAW'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: TRANSFERS FROM THE UNIVERSITY OF ROCHESTER 4,848,332. FORGIVENESS OF DEBT 611,556. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. 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