2019-11-08T12:26:11-07:00 2018-12-31 990 2018-01-01 237046583 M M EWING CONTINUING CARE CENTER MMEW 5853966000 350 Parrish Street Canandaigua NY 144241731 Mark Prunoske Sr VP Finance / CFO 5853966280 2019-11-08 128.151.71.11 2018 2020-03-31 21:24:44Z Michael F Stapleton Jr 350 Parrish Street Canandaigua NY 14424 20742489 0 X www.thompsonhealth.com X 1968 NY M.M.Ewing Continuing Care Center is a residential health care facility which provides the community with 178 long term care beds and an adult day service program which provided 46 slots. 24 18 295 71 0 0 71738 45125 20011106 20504156 2857 -1519 168384 156183 20254085 20703945 0 0 0 0 11908643 12631768 0 0 26328 7404800 7459919 19313443 20091687 940642 612258 9849147 10383716 4108060 4107520 5741087 6276196 M.M.Ewing Continuing Care Center is dedicated to providing a continuum of long-term, rehabilitative, and related services to the community while respecting the dignity and individuality of those served. 0 0 16034582 0 19885137 MM Ewing Continuing Care Center is a residential health care facility offering quality skilled nursing. There are 178 long term care beds on five avenues (Pines, Rosewood, Lakeview, Gardens, and the Meadows) for residents where they are provided with post-hospital care services, that require rehabilitation or restoration from illness, surgery and/or hospital stays; care for those suffering from dementia/Alzheimers and long term services for individuals who need 24-hour skilled nursing care. 689120 0 619019 The Medical Adult Day Services (The Brighter Day) provide a safe, friendly place to stay active while receiving personal services and medical supervision. It is designed for those who live alone or with a caregiver. Adults are also provided with personal care, well-balanced meals and snacks, and the opportunity to spend time with others in a secure environment while loved ones enjoy peace of mind. 0 0 0 16723702 1 1 0 0 0 0 0 0 1 1 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 X 0 0 1 295 1 0 0 0 0 0 0 0 0 0 0 0 0 X 24 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X FFThompson Hospital Roberta Spezzano 5853966000 350 Parrish Street Canandaigua NY 144241731 X JAMES H BARR CPA BOARD CHAIR 0.5 1.5 X X 0 0 0 RANDALL FARNSWORTH BOARD MEMBER 0.5 1.5 X 0 0 0 ROGER FRIEDLANDER BOARD MEMBER 0.5 1.5 X 0 0 0 DANIEL FULLER VICE CHAIR 0.5 1.5 X X 0 0 0 STEVEN GOLDSTEIN BOARD MEMBER 0.5 71 X 0 1196035 504848 FRANK HAMLIN III BOARD MEMBER 0.5 1.5 X 0 0 0 DALE HUNT BOARD MEMBER 0.5 2 X 0 0 0 WILLIAM KENYON ESQ BOARD MEMBER 0.5 1.5 X 0 0 0 BEN C WANDKE MD PRESIDENT OF MEDICAL STAFF 0.5 55 X 0 541888 51487 BRIAN MEATH ESQ BOARD SECRETARY 0.5 1.5 X X 0 0 0 DEBORAH PRICE BOARD TREASURER 0.5 1.5 X X 0 0 0 ROBERT SANDS ESQ BOARD MEMBER 0.5 1.5 X 0 0 0 MICHAEL F STAPLETON JR FACHE PRESIDENT/CEO 3 37 X X 0 648914 90981 MARK TAUBMAN MD BOARD MEMBER 0.5 75 X 0 2070504 248883 CYNTHIA TEERLINCK MD BOARD MEMBER 0.5 1.5 X 0 0 0 LORI VAN DUSEN BOARD MEMBER 0.5 1.5 X 0 0 0 MARK BLAZEY BOARD MEMBER 0.5 1.5 X 0 0 0 DAVID G CASE BOARD MEMBER 0.5 2 X 0 0 0 LAUREN DIXON BOARD MEMBER 0.5 2 X 0 0 0 PAUL GRISWOLD BOARD MEMEBER 0.5 2 X 0 0 0 A DAVID PETER MD BOARD MEMBER 0.5 1.5 X 0 289839 13497 MARGARET SOMERSET ESQ BOARD MEMBER 0.5 1.5 X 0 0 0 MICHAEL APOSTOLAKOS MD BOARD MEMBER 0.5 64 X 0 649551 52865 LAUREN SANDS ESQ BOARD MEMBER 0.5 2 X 0 0 0 MARK PRUNOSKE SVP FINANCE / CFO 4 36 X 0 329106 54864 KURT KOCZENT EVP/COO 0.5 39.5 X 0 328823 53985 ELIZABETH TALIA ESQ VP LEGAL & REGULATORY AFFAIRS 5.5 34.5 X 0 204860 27794 AMY DALY VP LONG TERM CARE 39 1 X 136767 0 20297 KAREN MEAD MEDICAL DIRECTOR 28 0 X 133884 0 5540 270651 6259520 1125041 2 0 1 0 Ontario ARC 3071 County Complex Drive Canandaigua NY 14424 Adult Day Care Transportation 156214 Omnicare Inc DEPT 781668 PO BOX 78000 DETROIT MI 482781668 Pharmacy service for residents of MMECCC 226718 Medical Staffing Network PO Box 840292 Dallas TX 752840292 Staffing Agency 132264 3 0 0 0 8831 36294 0 0 45125 Skilled Nursing Services 623000 19885137 19885137 0 0 Medical Adult Day Program 623000 619019 619019 0 0 0 0 0 0 20504156 10780 0 0 10780 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26245 0 38544 0 -12299 -12299 0 0 -12299 0 Associate/Patient Support 812900 156183 0 0 156183 0 0 0 0 156183 20703945 20504156 0 154664 0 0 0 0 0 0 0 0 146105 0 146105 0 0 0 0 0 10936821 10010743 926078 0 269499 243427 26072 0 775970 700901 75069 0 503373 454676 48697 0 56488 40884 15604 0 26355 19075 7280 0 25416 18395 7021 0 0 0 0 0 0 0 0 0 0 0 661159 661159 0 0 0 0 0 0 108832 85948 22884 0 76369 74742 1627 0 0 0 0 0 357801 260359 97442 0 2431 1697 734 0 0 0 0 0 7999 6685 1314 0 18622 0 18622 0 0 0 0 0 465135 268206 196929 0 64257 0 64257 0 Hospital Services 3705587 2296131 1409456 0 NYS Assessment 1202133 1202133 0 0 Other 398789 368652 3809 26328 Health System Member Assessment 282546 9889 272657 0 0 0 0 0 20091687 16723702 3341657 26328 1396593 849706 1013195 2121127 0 2069776 2086937 0 0 0 0 0 0 0 0 103505 98052 16812798 12138584 4733945 4674214 0 0 0 0 0 0 0 0 532133 553680 9849147 10383716 54957 64240 0 0 0 0 0 0 20867 29485 0 0 707546 416080 0 0 3324690 3597715 4108060 4107520 X 5558018 6084122 183069 192074 0 0 5741087 6276196 9849147 10383716 X 612258 0 0 0 0 -77149 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 9096199 0 104438 0 324948 0 8875689 8302363 0 1208679 0 414843 0 9096199 7960641 22273 417315 0 97866 0 8302363 8410147 39879 -52633 20000 416752 0 7960641 8160115 60504 440305 0 250777 0 8410147 0.94 0.06 0 0 1 1 0 25000 25000 0 10829092 8375572 2453520 0 0 0 0 0 5320370 3317888 2002482 0 638336 445124 193212 4674214 Beneficial Interest in the Net Assets of FF Thompson Foundation, Inc 192074 Assets Limited as to Use 250000 Other Assets 111606 553680 0 Accrued pension liability 1757181 Due to affiliates, net 847982 Estimated third-party payor settlements, net 620443 Conditional asset retirement obligation 142099 Other accrued liabilities 230010 3597715 20703945 0 0 0 0 0 20703945 0 0 0 20703945 20091687 0 0 0 0 0 20091687 0 0 0 20091687 Schedule D, Part IV, Line 2b MM Ewing Continuing Care Center holds the resident's funds in a cash account for their convenience. It is recorded as an asset (cash) and a liability (accrued liability-resident funds). Schedule D, Part V, Line 4 The funds are held by the FF Thompson Foundation for the benefit of FF Thompson Health System, Hospital, Senior Communities, and Continuing Care Center. The Foundation continuously evaluates the needs of these organizations and attempts to meet those needs. 0 1 0 0 0 0 0 1 0 STEVEN GOLDSTEIN BOARD MEMBER 0 1116420 0 0 0 79615 0 485802 0 19046 0 1700883 0 0 MICHAEL F STAPLETON JR FACHE PRESIDENT/CEO 0 418171 0 144000 0 86743 0 73750 0 17231 0 739895 0 56232 MARK PRUNOSKE SVP FINANCE / CFO 0 244987 0 50492 0 33626 0 37866 0 16998 0 383969 0 23886 KURT KOCZENT EVP/COO 0 238332 0 58658 0 31833 0 36753 0 17231 0 382807 0 22559 ELIZABETH TALIA ESQ VP LEGAL & REGULATORY AFFAIRS 0 175000 0 22226 0 7633 0 10560 0 17233 0 232652 0 0 AMY DALY VP LONG TERM CARE 119671 0 15194 0 1901 0 4274 0 16023 0 157063 0 0 0 MARK TAUBMAN MD BOARD MEMBER 0 1126391 0 300000 0 644113 0 226402 0 22481 0 2319387 0 612699 MICHAEL APOSTOLAKOS MD BOARD MEMBER 0 631051 0 0 0 18500 0 26402 0 26463 0 702416 0 0 A DAVID PETER MD BOARD MEMBER 0 282261 0 7500 0 79 0 2750 0 10747 0 303337 0 0 BEN C WANDKE MD PRESIDENT OF MEDICAL STAFF 0 506388 0 17000 0 18500 0 25943 0 25544 0 593375 0 0 Schedule J, 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 official's compensation, this question has been left unanswered. Refer to Schedule O, description of compensation review and approval process. Schedule J, Part I, Line 4 The following individuals participated in a supplemental nonqualified retirement plan and received employer paid amounts that are included in deferred compensation 457 (f) plan payments were Steven Goldstein -300,000; Mark Taubman-75,000; Michael Stapleton-60,000, Kurt Koczent-23,003, and Mark Prunoske-24,116. Serp plan payments were Steven Goldstein - 159,400 and Mark Taubman-125,000; received employer paid amounts that are included in other reportable compensation 457 (F) plan were Mark Taubman-612,699. Schedule J, Part I, Line 7 The President/CEO, Executive VP/COO, and Senior VP of Finance/CFO are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal ties in part to the net earnings of the organization and its affiliates. Form 990, Part V, Line 2a Employees and certain officers, directors, and key employees of the Frederick Ferris Thompson Hospital's related organizations receive compensation from the Hospital, through a common paymaster. Because employees are included in the common paymaster, a portion of the salaries of these individuals is allocated to its affiliates and is included as part of other salary and wages on their statement of functional expenses. None of the board members of MM Ewing Continuing Care Center are compensated for their board services. Form 990, Part VI, Section A, Line 6 The sole member of MM Ewing Continuing Care Center is FF Thompson Health System Inc (System). The System, the University of Rochester Medical Center and the University of Rochester (UR) are parties in an affiliation agreement whereby UR is the sole corporate member of the System. The System acting through its board of directors, has the authority to elect the governing body of MM Ewing Continuing Care Center and approve certain decisions. Such decisions include appointment of the MM Ewing Continuing Care Center President and CEO, amendment of the Certificate of Incorporations 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 Refer to Schedule O, Membership Information, Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section A, Line 7b Refer to Schedule O, Membership information, Form 990, Part VI, Section A, Line 6. Form 990, Part VI, Section B, Line 11b The Director of Finance and Reimbursement and CFO reviewed the return as well as a review by an independent accounting firm. The return was also made available to the Board of Directors and Audit Committee via a shared intranet website. The return is reviewed with the Audit Committee in detail and with the Board in summary. Questions are entertained during both meetings and for several days after the meetings prior to the final filing. Form 990, Part VI, Section B, Line 12c Consistent with the written system-wide conflict of interest policy, Board members, officers, and key employees complete conflict of interest forms annually to identify actual and potential conflicts of interest that may exist relative to their duties with the organization. The Audit Committee and the General Counsel monitor the completions of these forms and review the statements made therein for the compliance with the COI policy. An individual management plan is developed that stipulates how each potential or actual COI will be addressed in order to mitigate each conflict identified. Each individual management plan is reviewed, modified as necessary, and approved by the Audit Committee and the General Counsel, and is then delivered to each person with an identified potential or actual COI. To help ensure compliance with the COI policy, each individual management plan stipulates that the person with an actual or potential conflict of interest will not be allowed to participate in any discussion or decision of the Board in any area of conflict identified. Furthermore, unless a specific question is asked by the Board, the person with the COI will be asked to leave the room during a discussion and/or decision by the Board that involves an area covered by the COI individual management plan. The Audit Committee and General Counsel review these procedures annually to assess their effectiveness and recommend (or make) appropriate changes as needed to ensure the conflict of interest policy is consistently and effectively enforced. Form 990, Part VI, Section B, Line 15 Executive compensation at Thompson is established by the Compensation Committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and senior level executives. The full Board of Directors is surveyed by the Compensation Committee on executive performance; this is considered in determining compensation levels. The Compensation Committee is also involved in goal setting for the CEO, which ties back to his performance reviews and incentive compensation rates. The year in which this process was last undertaken for each person was 2018. Form 990, Part VI, Section C, Line 19 These documents are available upon request by contacting the administrative office. Form 990, Part VII, Section B, Line 1(A) The five highest paid independent contractors include those organizations paid by the hospital on behalf of MM Ewing CCC through a common accounts payable system. The amounts included on this schedule were allocated by the hospital to the CCC. Form 990, Part XI, Line 9 Change in funded status of pension plan -86,154. Change in beneficial interest in FF Thompson Foundation, Inc. 9,005. Total to form 990, Part XI, line 9 -77,149. Frederick Ferrris Thompson Hospital 350 Parrish Street Canandaigua NY 14424 160743024 Hospital NY 501 (c) (3) 3 Thompson Health System Inc 0 FF Thompson Foundation Inc 350 Parrish Street Canandaigua NY 14424 222959984 Fundraising NY 501 (c) (3) 7 Thompson Health System Inc 0 FF Thompson Health System 350 Parrish Street Canandaigua NY 14424 222959987 Support Org NY 501 (c) (3) 12a University of Rochester 0 FF Thompson Senior Communities Inc 1 Ferris Hills Canandaigua NY 14424 161557494 Elder Care NY 501 (c) (3) 10 Thompson Health System Inc 0 University of Rochester 910 Genesee Street STE 200 Rochester NY 14611 160743209 School NY 501 (c) (3) 2 N/A 0 Highland Hospital of Rochester 1000 South Avenue Rochester NY 14620 160743037 Hospital NY 501 (c) (3) 3 Strong Partners Healh System Inc 0 The Highland Foundation Inc 1000 South Avenue Rochester NY 14620 237310662 Fundraising NY 501 (c) (3) 12 A 1 Highland Hospital 0 Highland Facilities Development Corp 1000 South Avenue Rochester NY 14620 223039077 Medical Bldg NY 501 (c)(3) 10 Highland Hospital 0 Highland Community Development Corp 100 Hahnemann Trail Pittsford NY 14534 223154715 Elder Care NY 501 (c) (3) 10 Strong Partners Health System Inc 0 The Highlands Living Center Inc 500 Hahnemann Trail Pittsford NY 14534 223240227 Healthcare NY 501 (c) (3) 10 SPHS 0 The Meadows at Westfall Inc 2901 Lac De Ville Blvd Rochester NY 14618 161502303 Healthcare NY 501 (c) (3) 10 Strong Partners Health System Inc 0 Strong Partners Health System Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 161499099 Support Org NY 501 (c) (3) 12 a 1 University of Rochester 0 Strong Home Care Group 2180 Empire Boulevard Webster NY 14580 222577664 Fundraising NY 501 (c) (3) 7 University of Rochester 0 Visiting Nurse Srvc of Rochester Monro 2180 Empire Boulevard Webster NY 14580 160743215 Healthcare NY 501 (c) (3) 10 Strong Home Care Group 0 Community Care of Rochester 2180 Empire Boulevard Webster NY 14580 161561691 Healthcare NY 501 (c) (3) 10 Strong Home Care Group 0 Excell Partners Inc 343 State Street Kodak Tower 2nd Floor Rochester NY 14650 201862628 Economic Dev NY 501 (c) (4) NA University of Rochester 0 Rochester Bioventure Center Inc 601 Elmwood Avenue Box 706 Rochester NY 14642 202485999 Biotech Incub NY 501 (c) (3) 12 A 1 University of Rochester 0 Nextcorps 260 East Main Street Suite 6000 Rochester NY 14604 161195028 Business Incu NY 501 (c) (3) 7 University of Rochester 0 University of Rochester Employee Ben Trs 910 Genesee Street Suite 200 Rochester NY 14611 161600112 Emply Ben Trst NY 501 (c) (9) NA University of Rochester 0 U of R Broadcasting Corporation 201 Wilson Commons Rochester NY 14627 160743209 Broadcast Lic NY 501 (c) (4) NA University of Rochester 0 UR Real Estate Corporation 263 Wallis Hall Rochester NY 14627 271140014 Support Org NY 501 (c) (3) 12a 1 University of Rochester 0 Meliora Real Estate Corporation 263 Wallis Hall Rochester NY 14627 452464788 Support Org NY 501 (c) (3) 12 a 1 University of Rochester 0 Finger Lakes Home Care Inc 756 Pre Emption Road Geneva NY 14456 161489133 Healthcare NY 501 (c) (3) 10 Visiting Nurse Service of Rochester & Monroe 0 Finger Lakes Visiting Nurse Service Inc 756 PreEmption Road Geneva NY 14456 223067627 Healthcare NY 501 (c) (3) 10 Visiting Nurse Service of Rochester & Monroe 0 Jones Medical Services PC 191 North Main Street Wellsville NY 14895 465210222 Medical Clinic NY 501 C (3) 3 Jones Hospital 0 Livingston Health Care System Inc 111 Clara Barton Street Dansville NY 14427 161455240 Support Organization NY 501 (c) (3) 12 a 1 University of Rochester 0 The Memorial Hospital of William F and Gertrude F Jones Inc 191 North Main Street Wellsville NY 14895 222807681 Hospital NY 501 C (3) 3 Univ of Roch 0 Red Jacket Center Inc 111 Clara Barton Street Dansville NY 14427 161037658 Medical Bldg NY 501 c (3) 12 A 1 LHCS 0 Nicholas H Noyes Memorial Hospital Inc 111 Clara Barton Street Dansville NY 14427 160743979 Hospital NY 501 C (3) 3 LHCS 0 The Foundation for Noyes Memorial Health System Inc 111 Clara Barton Street Dansville NY 14427 161584778 Fundraising NY 501 C (3) 7 LHCS 0 Jones Memorial Hospital Foundation 191 North Main Street Wellsville NY 14895 473763374 Support Org NY 501 C (3) 7 Jones Hosp 0 St James Hospital 411 Canisteo Street Hornell NY 14844 160743310 Hospital NY 501 C (3) 3 Univ of Roch 0 St James Mercy Foundation 411 Canisteo Street Hornell NY 14844 161486437 Fundraising NY 501 C (3) 7 St James Hosp 0 UR Medicine Home Care Community Services Inc 2180 Empire Boulevard Webster NY 14580 825091873 Healthcare NY 501 C (3) 10 SHCG 0 UR Medicine Home Care Foundation Inc 2180 Empire Boulevard Webster NY 14580 831912967 Support Org NY 501 C (3) 12A 1 SHCG 0 EXCELL INNOVATE NY FUND LP 222 West Ridge Road Bldg 28 Suite 156-1 Rochester NY 14615 462405519 Investment Fund NY EVT INC 0 0 EXCELL MINORITY AND WOMEN OWNED BUSINESS INVESTMENT FUND LP 222 West Ridge Road Bldg 28 Suite 156 1 Rochester NY 14615 810723223 Investment Fund NY ETV INC 0 0 EXCELL PARTNERS INNOVATIVE TC FUND LP 222 West Ridge Road Bldg 28 Suite 156-1 Rochester NY 14615 810711015 Investment Fund NY ETV INC 0 0 Finger Lakes Community Care Network 350 Parrish Street Canandaigua NY 14424 161423442 Inactive NY FF Thompson Health System C 0 FFTH Properties and Services Inc 350 Parrish Street Canandaigua NY 14424 161286518 Holding CO NY FF Thompson Health System C 0 Medical Administrative Associates Inc 777 South Clinton Avenue Rochester NY 14620 161354319 Retail Pharmacy NY Highland Hospital C 0 UR Equity Holdings Inc 110 Office Park Way Pittsford NY 14534 273040889 Holding Co NY University of Rochester C 0 Excell Technology Ventures Inc 222 West Ridge Road Suite 156-1 Rochester NY 14615 800909149 Biotech Incubator NY Rochester Bioventure C 0 Accountable Health Partners LLC 135 Corporate Woods STE 320 Rochester NY 14623 300787967 Acct Care Network NY University of Rochester C 0 Accountable Health Partners IPA LLC 135 Corporate Woods Suite 320 Rochester NY 14623 371746016 Independent Practice Association NY AHP LLC C 0 AHP Insurance Company 76 ST Paul St Suite 500 Burlington VT 05401 814644839 Captive Insurance Co VT AHP LLC C 0 Luminate Venture Challenge Corp 260 East Main Street Suite 6000 Rochester NY 14604 823954131 Business Incu NY Nextcorps Inc C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 Schedule R, Part III Columns E, F, G, and K are all not applicable