2015-11-16T11:43:43-06:00 2014-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2014-01-01 161489340 CHAPEL OAKS INC CHAP 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2015-11-12 1 JENNIFER ARBORE P00893012 5854278900 2014 2016-02-25 16:41:14Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 4108150 0 X WWW.STANNSCOMMUNITY.COM X 1995 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS VIA HOUSING & SUPPORT SERVICES. 5 4 0 7 0 0 53608 11035 3812668 3806000 8849 6272 279131 282193 4154256 4105500 0 0 0 0 1272834 1209707 0 0 0 2602485 2435427 3875319 3645134 278937 460366 17409809 16946561 10073742 9764155 7336067 7182406 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 2837626 3806000 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 2014, CHAPEL OAKS PROVIDED 39,734 DAYS OF HOUSING TO SENIORS IN THE GREATER ROCHESTER AREA. 2837626 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 11 0 1 0 0 0 0 0 0 0 0 0 X 5 4 0 0 1 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 MARGARET BRINGEWATT CHAIR 1.00 X X 0 0 0 JOSEPH STANKAITIS CHAIR ELECT 1.00 X X 0 0 0 PATRICK BURKE IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 TIMOTHY WHITE SECRETARY 1.00 X X 0 0 0 MARIE CASTAGNARO TREASURER 1.00 X X 0 0 0 MICHAEL MCRAE PRESIDENT & CEO 0.00 40.00 X 0 348950 14465 DENNIS KANT SENIOR VP/CFO 2.00 38.00 X 0 227700 15191 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVELOPMENT 1.00 39.00 X 0 164603 2861 STEVEN SMITH VP OF FOUNDATION & RESOURCE DEVELOPMENT 0.00 40.00 X 0 163235 7115 MICHAEL SEELIG CR VP 4.00 36.00 X 0 162186 13590 DIANE KANE MD CHIEF MEDICAL OFFICER 0.00 40.00 X 0 358806 16537 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0.00 40.00 X 0 270924 14463 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 0.00 40.00 X 0 222321 12617 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 0.00 40.00 X 0 203284 13482 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 0.00 40.00 X 0 197778 14055 ELIZABETH MULLIN-DIPROSA FORMER PRESIDENT/CEO 1.00 39.00 X 0 440535 9362 DAVID SONES FORMER VP ADMINISTRATOR 0.00 40.00 X 0 139264 4865 0 2899586 138603 0 1 1 0 LECESSE CONSTRUCTION COMPANY 1650 EMPIRE BLVD WEBSTER NY 14580 GENERAL CONTRACTOR AND CONSTRUCTION MANA 1988808 SWBR ARCHITECTS 387 E MAIN STREET SUITE 500 ROCHESTER NY 14604 ARCHITECTS 199301 2 11035 11035 RENTAL REVENUE 623000 3729545 3729545 OTHER RESIDENT REVENUE 623000 76455 76455 3806000 6272 6272 1073 0 1073 1073 1073 3874 2650 1224 1224 DINING ROOM REVENUE 722210 274508 274508 MISCELLANEOUS 900099 5388 5388 279896 4105500 3806000 0 288465 1009537 718642 290895 27132 19314 7818 92036 65516 26520 81002 57662 23340 386491 51142 335349 12550 12550 82878 82514 364 77298 77298 56865 25808 31057 222454 222454 3425 1593 1832 296406 296406 901609 901609 52373 52373 FOOD 193042 192753 289 LICENSES & TAXES 70314 70314 OTHER EXPENSES 39856 39660 196 EQUIPMENT RENTAL & MAIN 39491 39491 375 375 3645134 2837626 807508 0 200 200 4324862 3237674 7684 6995 13261 13232 18197 19197 22922198 9594645 11533712 13327553 1237822 274071 341710 17409809 16946561 681620 467595 254 2831 9065000 8537693 326868 756036 10073742 9764155 X 7336067 7182406 7336067 7182406 17409809 16946561 X 460366 20 -614047 X X 0 1 X 1 0 X 3990 2540 37091 53608 11035 108264 3961097 3928739 3789148 3812668 3806000 19297652 3965087 3931279 3826239 3866276 3817035 19405916 0 0 0 19405916 35273 24899 18059 8849 6272 93352 35273 24899 18059 8849 6272 93352 63086 319175 273797 278190 279898 1214146 4063446 4275353 4118095 4153315 4103205 20713414 0.93690 0.94730 0.00450 0.00730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1648325 1648325 18626090 8270222 10355868 1481802 639147 842655 1165981 685276 480705 13327553 DUE TO AFFILIATES 35942 FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 363479 SECURITY DEPOSITS 356615 756036 X 3494123 20 -614047 -614027 4108150 -2650 -2650 4105500 3647784 2650 2650 3645134 0 3645134 PART X, LINE 2: CHAPEL OAKS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO CHAPEL OAKS' TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, CHAPEL OAKS WILL RECOGNIZE THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT CHAPEL OAKS IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON CHAPEL OAKS' FINANCIAL STATEMENTS. THE EXEMPT INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2012 THROUGH 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -363,479. LOSS ON DEFERRED FINANCING COSTS DUE TO REFINANCING -250,568. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -2,650. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 2,650. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT & CEO 0 323551 0 0 0 25399 0 0 0 14465 0 363415 0 0 DENNIS KANT SENIOR VP/CFO 0 215131 0 0 0 12569 0 0 0 15191 0 242891 0 0 ROBERT BOURG VP OF ORGANIZATIONAL TRAINING & DEVE 0 161500 0 0 0 3103 0 0 0 2861 0 167464 0 0 STEVEN SMITH VP OF FOUNDATION & RESOURCE DEVELOPM 0 156977 0 0 0 6258 0 0 0 7115 0 170350 0 0 MICHAEL SEELIG CR VP 0 151367 0 0 0 10819 0 0 0 13590 0 175776 0 0 DIANE KANE MD CHIEF MEDICAL OFFICER 0 327026 0 0 0 31780 0 0 0 16537 0 375343 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0 261590 0 0 0 9334 0 0 0 14463 0 285387 0 0 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 0 209465 0 0 0 12856 0 0 0 12617 0 234938 0 0 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 0 192478 0 0 0 10806 0 0 0 13482 0 216766 0 0 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 0 185538 0 0 0 12240 0 0 0 14055 0 211833 0 0 ELIZABETH MULLIN-DIPROSA FORMER PRESIDENT/CEO 0 427734 0 0 0 12801 0 0 0 9362 0 449897 0 0 DAVID SONES FORMER VP ADMINISTRATOR 0 137188 0 0 0 2076 0 0 0 4865 0 144129 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE FORMER PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $29,092; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $8,842; AND CLUB MEMBERSHIP OF $1,524. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE FORMER PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON ON THE FORM W-2. ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $9,438; REIMBURSEMENT OF PROFESSIONAL ADVISORY SERVICE FEES OF $16,000; AND REIMBURSEMENT OF MOVING EXPENSES OF $2,050. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON 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. PATRICK BURKE BOARD MEMBER OF ST. ANN'S COMMUNITY 55494 PATRICK BURKE IS A CURRENT BOARD MEMBER AND MANAGING PRINCIPLE OF BURKE GROUP. ST. ANN'S ENGAGES BURKE GROUP AS ADMINISTRATOR OF IT'S RETIREMENT PLANS AND FOR ACTUARIAL SERVICES RELATED TO THESE PLANS. 0 FORM 990, PART VI, SECTION A, LINE 4 ADDITIONAL LANGUAGE WAS ADDED TO THE ORGANIZATIONAL DOCUMENTS TO REFLECT THE CHANGES REQUIRED BY THE NEW YORK NON-PROFIT REVITALIZATION ACT. FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORT IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY EFP ROTENBERG, 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 FOR COMMENTS PRIOR TO FILING THE RETURN. 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 CP 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. 2014 VPS AND CEO DATA REVIEWED; 2014 DIRECTOR LEVEL DATE REVIEWED. 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 -363,479. LOSS ON DEFERRED FINANCING COSTS DUE TO REFINANCING -250,568. 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) 9 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) 11A 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) 9 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) 11B 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) 9 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