2021-11-10T09:20:44-06:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 160743146 ST ANN'S HOME FOR THE AGED STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2021-11-08 1 DENNIS KANT XXX-XX-XXXX AMANDA L DELLA SALA P02064655 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 55487381 0 X WWW.STANNSCOMMUNITY.COM X 1874 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS IN A SKILLED NURSING FACILITY. 24 20 984 173 10019 9019 4656884 5733441 53674414 43149408 1584764 760997 1383973 2603240 61300035 52247086 91992 0 0 0 43189713 41922398 0 0 0 17630276 24243668 60911981 66166066 388054 -13918980 126169381 123440655 107519096 121723337 18650285 1717318 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, ALSO 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., ST. ANN'S SENIOR HOUSING, INC., AND ST. ANN'S GREENS OF LEROY, INC. ST. ANN'S HOME IS A 470 BED LICENSED SKILLED NURSING FACILITY. SPECIALIZED CARE OFFERED IN THIS FACILITY INCLUDES 34 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 ADULT DAY PROGRAM AT DURAND, A 36 SLOT MEDICAL ADULT DAY PROGRAM. 0 0 55797364 43981509 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 2020 FISCAL YEAR: SKILLED NURSING CARE PROVIDED A TOTAL OF 115,105 DAYS OF CARE. INCLUDED IN THESE NUMBERS ARE BED DAYS FOR OUR WEGMAN TRANSITIONAL CARE CENTER, THAT PROVIDES 72 BEDS OF SKILLED NURSING CARE, OUR SPECIAL CARE UNIT, A 36-BED UNIT DEDICATED TO THE CARE FOR THOSE LIVING WITH DEMENTIA, AS WELL AS A 34-BED TRANSITIONAL CARE UNIT DEDICATED TO PROVIDING SHORT TERM POST-ACUTE REHABILITATION. OUR TRANSITIONAL CARE CENTER PROGRAM PROVIDED A TOTAL OF 10,206 DAYS OF CARE. THE LEO CENTER FOR CARING IS A 10-BED HOSPICE UNIT AND PROVIDED 2,943 DAYS OF CARE. THE HOME CONNECTION PROGRAM PROVIDED 30 SLOTS FOR MEDICAL ADULT DAY SERVICES AND THE ADULT DAY PROGRAM AT DURAND PROVIDED 36 SLOTS FOR MEDICAL DAY SERVICES. DURING 2020, 7,227 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS OF BOTH PROGRAMS. 55797364 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 13 0 1 984 1 1 1 0 0 0 0 0 0 0 0 0 X 24 20 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 DAN ADAMS DIRECTOR 1.00 X 0 0 0 EDMOND AKUBUIRO DIRECTOR 1.00 X 0 0 0 MICHELLE ASHBY 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 MELISSA GARDNER DIRECTOR 1.00 X 0 0 0 JOHN HAYES BOARD CHAIR ELECT 1.00 X X 0 0 0 CARMEN INDIANO DIRECTOR 1.00 X 0 0 0 JAMES LEO TREASURER 1.00 X X 0 0 0 NICOLE MARRO DIRECTOR 1.00 X 0 0 0 ANNA LYNCH DIRECTOR 1.00 X 0 0 0 SR MARLENE PAPE DIRECTOR 1.00 X 0 0 0 MICHAEL PINCH DIRECTOR 1.00 X 0 0 0 PATRICIA RISSONE DIRECTOR 1.00 X 0 0 0 MAURICIO RIVEROS DIRECTOR 1.00 X 0 0 0 CHERYL RYAN DIRECTOR 1.00 X 0 0 0 RONALD SALLUZZO CHAIR 1.00 X X 0 0 0 DEB SCHAUSEIL DIRECTOR 1.00 X 0 0 0 REV ROBERT SCHRADER DIRECTOR 1.00 X 0 0 0 JOSEPH WESLEY DIRECTOR 1.00 X 0 0 0 JOSEPH STANKAITIS DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 34.00 6.00 X X 488539 0 24680 BRIDGETTE WIEFLING MD DIRECTOR 1.00 X 0 0 0 KENT GARDNER DIRECTOR UNTIL MARCH 2020 1.00 X 0 0 0 CANDICE LUCAS DIRECTOR UNTIL MARCH 2020 1.00 X 0 0 0 DENNIS KANT SVP/CFO 20.00 20.00 X 284583 0 22192 STEVEN SMITH VP OF FOUNDATION AND RESOU 6.00 34.00 X 216685 0 20386 ROBERT BOURG VP OF ORGANIZATIONAL TRAIN 31.00 9.00 X 237536 0 8537 SUSAN MURTY VP ADMINISTRATOR 34.00 6.00 X 241386 0 21788 KIM PETRONE MEDICAL DIRECTOR 36.00 4.00 X 382759 0 21450 EILEEN RYAN-MARUKE VP OF MARKETING AND COMM RELATIONS 32.00 8.00 X 194010 0 20112 ELIZABETH TOMASZCZUK CHIEF NURSING EXECUTIVE 40.00 0.00 X 163865 0 20280 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 254641 0 19514 JARVIS SANCHEZ-RIVERA ASSOCIATE MEDICAL DIRECTOR 36.00 4.00 X 266496 0 22819 2730500 0 201758 64 0 1 0 LECESSE CONSTRUCTION CO 75 THRUWAY PARK DRIVE WEST HENRIETTA NY 14586 CONSTRUCTION CONTRACTOR 13224584 MEDICAL STAFFING NETWORK 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING 698450 TES STAFFING INC 1150 UNIVERSITY AVENUE BUILDING 5 ROCHESTER NY 14607 STAFFING 440268 RANSTAD TECHNOLOGIES PO BOX 847872 DALLAS TX 75284 TEMP HELP IT/HELP DESK 356552 SWBR ARCHITECTS 387 EAST MAIN STREET ROCHESTER NY 14604 ARCHITECTURAL SERVICES FOR RENOVATION PR 304759 13 2141371 3157894 434176 5733441 NET RESIDENT SERVICE REVENUE 623000 40196232 40196232 SUPPORT SERVICES 623000 2953176 2953176 43149408 438207 438207 100402 33165 67237 67237 67237 3466682 56924 3200816 0 265866 56924 322790 322790 5136 6314 -1178 -1178 PANDION/RAHSA 900099 1174231 10019 1164212 MISCELLANEOUS 900099 648865 429078 219787 MANAGEMENT FEE 900099 403023 403023 311062 311062 2537181 52247086 43981509 10019 2522117 996912 996912 33403022 29330021 4073001 696546 568475 128071 4366067 3563296 802771 2459851 2007568 452283 92061 92061 36170 36170 40553 40553 6330985 4589276 1741709 44265 44265 619105 459596 159509 1174469 1174469 1207141 1082133 125008 42961 34920 8041 1237437 1237437 4729585 4729585 704175 688741 15434 NYS ASSESSMENT 2250655 2250655 MEDICAL SUPPLIES 2064763 2064763 FOOD 1461033 1432203 28830 OTHER EXPENSES 1381638 1030297 351341 826672 728398 98274 66166066 55797364 10368702 0 1360740 1919095 249359 255728 7248558 3999244 350866 329871 1646590 668954 91912477 34606878 45770289 57305599 16331422 17854555 2498892 3037701 50712665 38069908 126169381 123440655 32482743 37627631 469052 104805 64487574 64487574 4582056 4048114 5497671 15455213 107519096 121723337 X 8967368 -9402020 9682917 11119338 18650285 1717318 126169381 123440655 X -13918980 864849 -3878836 X X 0 1 X 1 0 X 2596554 514006 1817457 4656884 5733441 15318342 60760823 61117173 55276305 53725914 43154544 274034759 63357377 61631179 57093762 58382798 48887985 289353101 0 0 0 289353101 635578 798923 701823 721104 538609 3396037 635578 798923 701823 721104 538609 3396037 1051564 1395945 1337105 1059552 1362950 6207116 65044519 63826047 59132690 60163454 50789544 298956254 0.96790 0.97050 0.01140 0.01160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8415881 759705 9175586 7158271 1257610 8415881 7657178 -498907 7158271 6576241 1080937 7657178 5863168 713073 6576241 0.07570 0.92430 0 0 1230549 1230549 50695237 20810163 29885074 23143908 13459010 9684898 16842783 337705 16505078 57305599 BENEFICIAL INTEREST - ST. ANN'S FOUNDATION 197088 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 438864 BENEFICIAL INTEREST IN REMAINDER TRUSTS 1307800 DUE FROM AFFILIATES 2433099 DUE FROM AFFILIATES, PENSION CONTRIBUTIONS 1306433 DUE FROM THIRD PARTY PAYORS 502742 LIMITED USE ASSETS 31140701 RIGHT OF USE ASSET 743181 38069908 ASSET RETIREMENT OBLIGATION 374420 DEFERRED COMPENSATION 857427 DUE TO AFFILIATES 14024178 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 199188 15455213 47059844 864846 -3097838 -2232992 49292836 40553 2913697 2954250 52247086 63992811 -2196084 -2196084 66188895 40553 -63382 -22829 66166066 PART V, LINE 4: INCOME FROM ENDOWMENT FUNDS ARE TO BE USED FOR IT'S CORPORATE PURPOSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT -3,757,631. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 449,558. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 30,070. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 197,088. CHANGE IN JOINT VENTURE INVESTMENT -16,923. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -33,165. GIFT SHOP EXPENSES -6,314. SUPPORT SERVICES 2,953,176. PART XII, LINE 2D - OTHER ADJUSTMENTS: GIFT SHOP EXPENSES 6,314. PAYMENTS FROM AFFILIATES -2,953,176. LOSS ON SETTLEMENT OF PENSION 750,778. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -33,165. SISTERS OF ST. JOSEPH CONTRIBUTION -30,217. X X X 1 1 X X X X X 1 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 332559 0 119679 0 36301 0 8400 0 16280 0 513219 0 0 0 KIM PETRONE MEDICAL DIRECTOR 302563 0 65196 0 15000 0 8400 0 13050 0 404209 0 0 0 DENNIS KANT SVP/CFO 227490 0 57093 0 0 0 8196 0 13996 0 306775 0 0 0 JARVIS SANCHEZ-RIVERA ASSOCIATE MEDICAL DIRECTOR 245785 0 20711 0 0 0 7767 0 15052 0 289315 0 0 0 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 235375 0 19266 0 0 0 7175 0 12339 0 274155 0 0 0 SUSAN MURTY VP ADMINISTRATOR 198182 0 43204 0 0 0 7142 0 14646 0 263174 0 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAIN 195021 0 42515 0 0 0 7029 0 1508 0 246073 0 0 0 STEVEN SMITH VP OF FOUNDATION AND RESOU 177902 0 38783 0 0 0 6402 0 13984 0 237071 0 0 0 EILEEN RYAN-MARUKE VP OF MARKETING AND COMM RELATIONS 159286 0 34724 0 0 0 5597 0 14515 0 214122 0 0 0 ELIZABETH TOMASZCZUK CHIEF NURSING EXECUTIVE 143997 0 19868 0 0 0 5430 0 14850 0 184145 0 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $6,244; INSURANCE OF $1,228; AND COUNTRY CLUB DUES OF $12,846. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION ON 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 DEV CORP 510188852 61075TUH9 2019-12-30 69470902 TO REFUND REV BOND, SERIES 2014 AND NEW FINANCING FOR CONSTRUCTION PROJECT 0 0 1 A 69470902 4251654 25454691 886704 38404616 486903 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 A 0 ANNA LYNCH BOARD MEMBER OF ST. ANN'S COMMUNITY 80416 ANNA LYNCH IS A CURRENT BOARD MEMBER AND MANAGING PARTNER OF UNDERBERG & KESSLER LLP. ST. ANN'S ENGAGES UNDERBERG & KESSLER FOR LEGAL SERVICES. 0 MICHELLE ASHBY BOARD MEMBER OF ST. ANN'S COMMUNITY 121645 MICHELLE ASHBY IS A CURRENT BOARD MEMBER AND PRESIDENT/CEO OF TIPPING POINT MEDIA. ST. ANN'S ENGAGES TIPPING POINT MEDIA FOR MARKETING CONSULTING. 0 MAURICIO RIVEROS BOARD MEMBER OF ST. ANN'S COMMUNITY 14508845 MAURICIO RIVEROS IS A CURRENT BOARD MEMBER AND PRESIDENT/CEO OF THE PIKE GROUP, WHO OWNS LECESSE CONSTRUCTION. ST. ANN'S ENGAGES LECESSE CONSTRUCTION FOR CONSTRUCTION PROJECTS. 0 FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION FOR THE REPORT IS PREPARED BY ST ANN'S STAFF, PROVIDED AND REVIEWED BY THE BONADIO GROUP. FINAL REPORTS ARE REVIEWED BY THE ST. ANN'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, AND PROVIDED TO CEO AND BOARD MEMBERS PRIOR TO REVIEW AT THE BOARD MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT A SUBSEQUENT BOARD 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 EACH YEAR AN INDEPENDENT WAGE STUDY IS CONDUCTED BY A CONSULTANT. DIRECTORS AND ABOVE, EXCEPT CEO, ARE REVIEWED BY VP OR HR AND CEO WITH ADJUSTMENTS MADE TO MAINTAIN COMPETITIVENESS. CEO DATA IS REVIEWED BY A COMMITTEE INCLUDING THE BOARD CHAIR, PAST BOARD CHAIR AND HR BOARD CHAIR. ADJUSTMENTS MADE AS NEEDED TO MAINTAIN MARKET COMPETITIVENESS. 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: PENSION LIABILITY ADJUSTMENT -3,757,631. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 449,558. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 30,070. CHANGE IN INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 197,088. CHANGE IN JOINT VENTURE INVESTMENT -16,926. NONOPERATING CONTRIBUTION -30,217. LOSS ON SETTLEMENT OF PENSION -750,778. 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) LINE 12A, I 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) LINE 10 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) LINE 12B, II 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) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S GREENS OF LEROY INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 852951380 HEALTH CARE NY 501(C)(3) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1