2014-11-12T12:27:22-06:00 2013-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2013-01-01 161489340 CHAPEL OAKS INC CHAP 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2014-11-12 1 JENNIFER ARBORE P00893012 5854278900 2013 2015-11-30 17:44:51Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 4159498 0 X WWW.STANNSCOMMUNITY.COM X 1995 NY PROMOTE INDEPENDENCE, PHYSICAL & SPIRITUAL WELL-BEING OF OLDER ADULTS VIA HOUSING & SUPPORT SERVICES. 5 5 0 5 0 0 37091 53608 3789148 3812668 16730 8849 279510 279131 4122479 4154256 0 0 0 0 1212503 1272834 0 0 0 2489370 2602485 3701873 3875319 420606 278937 17565453 17409809 10509658 10073742 7055795 7336067 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 3033824 3812668 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 2013, CHAPEL OAKS PROVIDED 39,395 DAYS OF HOUSING TO SENIORS IN THE GREATER ROCHESTER AREA. 3033824 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 4 0 1 0 0 0 0 0 0 0 0 0 X 5 5 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 PATRICK BURKE CHAIR 1.00 X X 0 0 0 MARGARET BRINGEWATT CHAIR ELECT 1.00 X X 0 0 0 ANN MCCORMICK 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 ELIZABETH MULLIN-DIPROSA PRESIDENT & CEO 1.00 39.00 X 0 506177 14615 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 0.00 40.00 X 0 244172 18481 DENNIS KANT SENIOR VP/CFO 2.00 38.00 X 0 218626 18717 DIANE KANE MD CHIEF MEDICAL OFFICER 0.00 40.00 X 0 315191 20174 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0.00 40.00 X 0 237610 18550 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 0.00 40.00 X 0 205339 16266 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 0.00 40.00 X 0 188850 15346 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 0.00 40.00 X 0 187241 16905 0 2103206 139054 0 0 1 0 LECESSE CONSTRUCTION COMPANY 1650 EMPIRE BLVD WEBSTER NY 14580 GENERAL CONTRACTOR AND CONSTRUCTION MANA 1824956 MERLINO DESIGN PARTNERSHIP 2200 RENAISSANCE BLVD SUITE 300 GULPH MILLS PA 19406 INTERIOR DESIGN 207821 SWBR ARCHITECTS 387 E MAIN STREET SUITE 500 ROCHESTER NY 14604 ARCHITECTS 166867 3 53608 53608 RENTAL REVENUE 623000 3738914 3738914 OTHER RESIDENT REVENUE 623000 73754 73754 3812668 8849 8849 1103 1003 100 100 100 5080 4239 841 841 DINING ROOM REVENUE 722210 271129 271129 MISCELLANEOUS 900099 7061 7061 278190 4154256 3812668 0 287980 992066 704519 287547 90676 64394 26282 111691 79318 32373 78401 55677 22724 14106 14106 81404 69484 11920 87307 87307 63327 31557 31770 199602 199602 1689 248 1441 629789 629789 729243 729243 76343 76343 INTERCOMPANY SUPPORT AL 376529 50896 325633 FOOD 180378 180378 LICENSES & TAXES 69347 69347 OTHER EXPENSES 41753 41361 392 51668 51668 3875319 3033824 841495 0 200 200 5915871 4324862 3041 7684 13819 13261 13553 18197 20482753 8949041 9925278 11533712 1237045 1237822 456646 274071 17565453 17409809 622844 681620 254 9540000 9065000 346814 326868 10509658 10073742 X 7055795 7336067 7055795 7336067 17565453 17409809 278937 1335 0 X X 0 1 X 1 0 X 1496 3990 2540 37091 53608 98725 4004583 3961097 3928739 3789148 3812668 19496235 4006079 3965087 3931279 3826239 3866276 19594960 0 0 0 19594960 64007 35273 24899 18059 8849 151087 64007 35273 24899 18059 8849 151087 5587 63086 319175 273797 278190 939835 4075673 4063446 4275353 4118095 4153315 20685882 0.94730 0.95280 0.00730 0.01520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1648325 1648325 16323218 7601285 8721933 1323586 683128 640458 1187624 664628 522996 11533712 SECURITY DEPOSITS 326868 326868 X 4160833 1335 1335 4159498 -5242 -5242 4154256 3880561 5242 5242 3875319 0 3875319 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 2011 THROUGH 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -1,003. COST OF GOODS SOLD -4,239. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,003. COST OF GOODS SOLD 4,239. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 ELIZABETH MULLIN-DIPROSA PRESIDENT & CEO 0 354277 0 124551 0 27349 0 0 0 14615 0 520792 0 0 MICHAEL MCRAE SENIOR VP/ADMINISTRATOR 0 210869 0 33303 0 0 0 0 0 18481 0 262653 0 0 DENNIS KANT SENIOR VP/CFO 0 188021 0 30605 0 0 0 0 0 18717 0 237343 0 0 DIANE KANE MD CHIEF MEDICAL OFFICER 0 288254 0 26937 0 0 0 0 0 20174 0 335365 0 0 KIMBERLY PETRONE ASSOCIATE MEDICAL DIRECTOR 0 220369 0 17241 0 0 0 0 0 18550 0 256160 0 0 JOHN JURIK ASSOCIATE MEDICAL DIRECTOR 0 193887 0 11452 0 0 0 0 0 16266 0 221605 0 0 JARVIS SANCHEZ-RIVERA STAFF ATTENDING PHYSICIAN 0 178203 0 10647 0 0 0 0 0 15346 0 204196 0 0 MICHELE SINCLAIR CHIEF NURSING EXECUTIVE 0 158518 0 28723 0 0 0 0 0 16905 0 204146 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $3,580; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $22,831; CLUB MEMBERSHIP OF $487; AND EMPLOYMENT CONTRACTS OF $450. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATIONON ON THE FORM W-2. PATRICK BURKE BOARD MEMBER OF ST. ANN'S COMMUNITY 32643 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 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. 2013 VPS AND CEO DATA REVIEWED; 2013 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 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 EXPENSE 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) 3 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) 11B 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