2020-11-12T16:11:38-06:00 2019-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2019-01-01 161489340 CHAPEL OAKS INC CHAP 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2020-11-09 1 JENNIFER ARBORE P00893012 5853811000 4.14.157.197 2020-11-09 16:16:56 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 829852D3FE1B4BD6D88CB1F1483A018BA4D8437D 2019 2021-01-29 14:40:06Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 4094570 0 X WWW.STANNSCOMMUNITY.COM X 1995 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS VIA HOUSING & SUPPORT SERVICES. 23 19 0 0 0 0 150682 79747 3613847 3608434 54896 44344 291119 362045 4110544 4094570 0 0 0 0 1308163 1354040 0 0 0 2827896 2837535 4136059 4191575 -25515 -97005 15515722 15226642 6921423 7007993 8594299 8218649 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 3238217 3608434 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 2019, CHAPEL OAKS PROVIDED 38,689 DAYS OF HOUSING TO SENIORS IN THE GREATER ROCHESTER AREA. 3238217 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 9 0 1 0 0 0 0 0 0 0 0 0 0 0 X 23 19 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 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 KENT GARDNER CHAIR 1.00 X X 0 0 0 JOHN HAYES SECRETARY 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 CANDICE LUCAS 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 ELECT 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 STANKAITIS MD IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 MICHAEL MCRAE PRESIDENT & CEO 0.00 40.00 X X 0 494916 31256 DENNIS KANT SVP/CFO 2.00 38.00 X 0 275546 30439 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING AND DEVELOPMENT 1.00 39.00 X 0 234972 12391 JENNIFER BLACKCHIEF VP SENIOR HOUSING OPERATIONS & DEVELOPMENT 4.00 36.00 X 0 221803 9401 EILEEN RYAN-MARUKE VP OF MARKETING AND COMM RELATIONS 3.00 37.00 X 0 187532 28049 MICHAEL LARCHE CHIEF INFORMATION OFFICER 1.00 39.00 X 0 205529 10983 0 1620298 122519 0 0 1 0 0 79747 79747 RENTAL REVENUE 623000 3493904 3493904 OTHER RESIDENT REVENUE 623000 114530 114530 3608434 44344 44344 9519 0 9519 9519 9519 451 0 451 451 DINING ROOM REVENUE 722210 313187 313187 MISCELLANEOUS 900099 38888 38888 352075 4094570 3608434 0 406389 1094699 739627 355072 161893 107562 54331 97448 64745 32703 389189 46921 342268 11650 11650 110534 103730 6804 117315 117315 3886 736 3150 112078 94265 17813 189298 189298 2050 815 1235 284437 284437 1177215 1177215 65937 65937 FOOD 205551 198903 6648 LICENSES & TAXES 78053 78053 EQUIPMENT RENTAL & MAIN 45203 45203 OTHER EXPENSES 42943 38574 4369 2196 2196 4191575 3238217 953358 0 292221 406529 358179 371445 3313 8800 6884 7560 15181 23665 25630976 14074940 12445622 11556036 2394322 2486527 0 366080 15515722 15226642 341187 313014 56289 47423 5829109 5777559 694838 869997 6921423 7007993 X 8594299 8218649 8594299 8218649 15515722 15226642 X -97005 52788 -4919 -326514 X X 0 1 X 1 0 X 18111 1450 150682 79747 249990 3961913 4033218 3915747 3613847 3608434 19133159 3980024 4033218 3917197 3764529 3688181 19383149 0 0 0 19383149 884 5954 45254 61309 53863 167264 884 5954 45254 61309 53863 167264 286502 293760 284696 284706 352526 1502190 4267410 4332932 4247147 4110544 4094570 21052603 0.92070 0.92640 0.00790 0.00570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1648325 1648325 20705595 12392920 8312675 1755412 715295 1040117 1521644 966725 554919 11556036 DUE TO AFFILIATES 520071 SECURITY DEPOSITS 349926 869997 3815918 52781 -326514 -273733 4089651 4919 4919 4094570 0 0 0 0 0 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -97,560. LOSS ON EXTINGUISHMET OF DEBT -199,388. PENSION LIABILITY ADJUSTMENT -29,566. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT & CEO 0 387395 0 106209 0 1312 0 11938 0 19318 0 526172 0 0 DENNIS KANT SVP/CFO 0 229068 0 44117 0 2361 0 12517 0 17922 0 305985 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING AND DE 0 196464 0 37823 0 685 0 10883 0 1508 0 247363 0 0 JENNIFER BLACKCHIEF VP SENIOR HOUSING OPERATIONS & DEVEL 0 185784 0 35740 0 279 0 7893 0 1508 0 231204 0 0 EILEEN RYAN-MARUKE VP OF MARKETING AND COMM RELATIONS 0 158491 0 28085 0 956 0 8767 0 19282 0 215581 0 0 MICHAEL LARCHE CHIEF INFORMATION OFFICER 0 182315 0 21444 0 1770 0 9475 0 1508 0 216512 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $3,278; INSURANCE OF $1,228; AND MOVING EXPENSES OF $18,840. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION ON ON THE FORM W-2. ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE VP OF SENIOR HOUSING OPERATIONS AND DEVELOPMENT: REIMBURSEMENT OF LOCAL HOTEL STAYS OF $136. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE VP OF SENIOR HOUSING OPERATIONS AND DEVELOPMENT AND WERE INCLUDED AS WAGE COMPENSATION ON ON 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 DEV CORP 510188852 61075TUH9 2019-12-31 15666763 TO REFUND REV BONDS, SERIES 2014 0 0 1 A 5917148 361128 5480462 75558 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 127101 ANNA LYNCH IS A CURRENT BOARD MEMBER ANDMANAGING PARTNER OF UNDERBERG & KESSLER LLP. ST. ANN'S ENGAGES UNDERBERG & KESSLER FOR LEGAL SERVICES. 0 MICHELLE ASHBY BOARD MEMBER OF ST. ANN'S COMMUNITY 121876 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 5934976 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 BONADIO & CO., LLP. FINAL REPORTS ARE REVIEWED BY THE ST. ANN'S ACCOUNTING TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, AND PROVIDED TO THE 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 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. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILBALE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -97,560. LOSS ON EXTINGUISHMENT OF DEBT -199,388. PENSION LIABILITY ADJUSTMENT -29,566. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. 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 EXPENSES 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) LINE 10 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S FOUNDATION INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161379536 PROVIDE FINANCIAL SUPPORT FOR ST. ANN'S COMMUNITY 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 SKILLED NURSING HOME 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 PARENT CORPORATION PROVIDING SUPPORT FOR ST. ANN'S COMMUNITY 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 SENIOR INDEPENDENT LIVING HOUSING NY 501(C)(3) LINE 10 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