2017-11-09T10:41:25-06:00 2016-12-31 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2016-01-01 161486437 ST JAMES MERCY FOUNDATION INC STJA 6073248000 411 CANISTEO STREET HORNELL NY 148432104 STANLEY D KONOPKO CFO 6073248000 2017-11-06 1 MICHAEL J GRIMALDI P01295846 7168563300 2016 2022-09-23 18:48:47Z JENNIFER L SULLIVAN 411 CANISTEO STREET HORNELL NY 148432104 145933 0 X HTTP://WWW.STJAMESMERCY.ORG/FOUNDATION-OVERVIEW.S X 1994 NY SEE SCHEDULE O ST. JAMES MERCY FOUNDATION, INC. STRIVES TO PROVIDE RESOURCES TO BENEFIT ST. JAMES MERCY HOSPITAL, ESTABLISHING PROGRAMS THAT ENCOURAGE A STRONG TRADITION OF CHARITABLE GIVING IN ORDER TO SUSTAIN AND INCREASE HEALTH CARE SERVICES IN THE REGION WE SERVE, NOW AND INTO THE FUTURE. 7 7 2 20 0 0 49869 73179 47110 56521 4250 9443 -4955 -1126 96274 138017 0 25751 0 0 141174 58415 0 0 23516 47912 37823 189086 121989 -92812 16028 577306 623338 35465 67386 541841 555952 X ST. JAMES MERCY FOUNDATION, INC. STRIVES TO PROVIDE RESOURCES TO BENEFIT ST. JAMES MERCY HOSPITAL, ESTABLISHING PROGRAMS THAT ENCOURAGE A STRONG TRADITION OF CHARITABLE GIVING IN ORDER TO SUSTAIN AND INCREASE HEALTH CARE SERVICES IN THE REGION WE SERVE, NOW AND INTO THE FUTURE. 0 0 49320 25751 ST. JAMES MERCY FOUNDATION, INC. PROVIDES PHILANTHROPIC SUPPORT SOLELY TO ST. JAMES MERCY HOSPITAL THROUGH GIFTS FROM INDIVIDUALS, CORPORATIONS AND PUBLIC ENTITIES. THE FOUNDATION HELPS TO ACCOMPLISH THE PRIORITIES OF ST. JAMES MERCY HOSPITAL THROUGH FUNDRAISING, VOLUNTEERISM AND STEWARDSHIP. 29437 56521 THE AQUINAS GIFT SHOP IS A PROGRAM SERVICE FOR ST. JAMES MERCY FOUNDATION, INC. THE AQUINAS GIFT SHOP IS STAFFED BY VOLUNTEERS FROM THE ST. JAMES AUXILIARY. 78757 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 2 1 0 0 0 0 0 1 1 0 0 0 0 X 7 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X STANLEY D KONOPKO 6073248110 411 CANISTEO STREET HORNELL NY 14843 STEVE PECK CHAIRPERSON 0.30 X X 0 0 0 PETER WALL VICE CHAIRPERSON 0.30 X X 0 0 0 LISA SCHWARTZ SECRETARY/TREASURER 0.30 X X 0 0 0 NANCY BARTELL MEMBER 0.30 X 0 0 0 KATHY DESSENA MEMBER 0.30 X 0 0 0 ELLIE MOREY MEMBER 0.30 X 0 0 0 TERRY PULLMAN MEMBER 0.30 X 0 0 0 JENNIFER L SULLIVAN PRESIDENT/CEO 1.00 39.00 X 0 243319 13079 STANLEY D KONOPKO CFO 0.30 39.70 X 0 0 0 DUSTIN HEWITT EXECUTIVE DIRECTOR 40.00 X 48333 0 5840 48333 243319 18919 0 0 1 0 0 30559 42620 73179 AQUINAS GIFT SHOP 453220 56521 56521 56521 3550 3550 5893 0 5893 5893 5893 6790 30559 7916 -1126 -1126 138017 56521 0 8317 25751 25751 26538 13269 13269 17889 17889 13988 9810 4178 2000 2000 509 255 254 1118 1118 3767 3767 30 15 15 FUNDRAISING EXPENSE 23516 23516 MISCELLANEOUS EXPENSE 6883 6883 121989 78757 19716 23516 46235 49987 0 20514 19909 19865 74 44 530997 552793 577306 623338 35465 67386 35465 67386 X 13981 222 257586 285456 270274 270274 541841 555952 577306 623338 16028 -1917 0 X X 0 1 X 1 0 X 747551 93165 46674 49869 73179 1010438 747551 93165 46674 49869 73179 1010438 1010438 23606 24176 7641 4250 9443 69116 -4955 -1126 -6081 1073473 0.94130 0.92620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270274 270274 271674 1400 270274 271674 271674 269621 2053 271674 269621 269621 1.00000 0 0 19909 19865 44 44 ASSETS WHOSE USE IS LIMITED 552793 552793 PART V, LINE 4: WITH THE HELP OF NEARLY 350 COMMUNITY MEMBERS, BUSINESS PARTNERS, EMPLOYEES, PROVIDERS, AND FRIENDS AND DONORS LIKE YOU, SJM FOUNDATION RAISES CHARITABLE GIFTS TO MAKE POSSIBLE A RANGE OF FACILITIES IMPROVEMENTS, CAPITAL EQUIPMENT, AND PROGRAM INITIATIVES, INCLUDING: - MANAGEMENT LEADERSHIP TRAINING - MERCY SUITE REFURBISHMENTS - PHYSICAL THERAPY (BARIATRIC HI-LO PLINTH) - PHYSICAL THERAPY (BIODEX BALANCE ASSESSMENT AND TREATMENT SYSTEM) - CARDIAC REHABILITATION PROGRAM SOFTWARE - EMT COMMUNITY-BASED TRAINING (WITH SUPPORT FROM BETHESDA FOUNDATION) - RENOVATION OF SJMH LOBBY GOLF OUTING 37349 30559 6790 749 590 4006 2329 242 37349 30559 6790 749 590 4006 2329 242 7916 -1126 1 ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL NY 14843 160743310 501(C)(3) 25751 SPECIFIC SUPPORT 1 PART I, LINE 2: THE FOUNDATION'S BOARD APPROVES ALL TRANSFERS TO ST. JAMES MERCY HOSPITAL. 0 0 0 0 0 0 0 0 0 JENNIFER L SULLIVAN PRESIDENT/CEO 0 243319 0 0 0 0 0 2596 0 10483 0 256398 0 0 FORM 990, PART VI, SECTION A, LINE 3 STANLEY D. KONOPKO HAS SERVED AS THE ORGANIZATION'S CFO SINCE AUGUST 2013. MR. KONOPKO IS A PARTNER OF BONADIO & CO., LLP, AN ACCOUNTING FIRM, WHICH WAS PAID $334,894 FOR MR. KONOPKO'S SERVICES TO BOTH THE FOUNDATION AND ST. JAMES MERCY HOSPITAL, A RELATED ORGANIZATION, IN 2016. THE FEES WERE PAID BY ST. JAMES MERCY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 ST. JAMES MERCY HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE GOVERNING BODY ARE ELECTED BY ST. JAMES MERCY HOSPITAL, THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF ST. JAMES MERCY FOUNDATION, INC. CAN MAKE RECOMMENDATIONS FOR CERTAIN TYPES OF ACTIONS THAT REQUIRE APPROVAL BY THE SOLE CORPORATE MEMBER. SOME EXAMPLES INCLUDE APPOINTING OR REMOVING MEMBERS OF THE GOVERNING BODY, AMENDING ARTICLES OF INCORPORATION AND AMENDING BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER BEFORE IT WAS FILED. ST. JAMES MERCY FOUNDATION, INC. HAS DESIGNATED THE AUDIT AND COMPLIANCE COMMITTEE OF ST. JAMES MERCY HOSPITAL AS THE GROUP TO BE EDUCATED AND TO REVIEW THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C A CALL FOR CONFLICTS IS PART OF EVERY BOARD MEETING. THE ANNUAL BOARD OF DIRECTORS EDUCATION SESSION WAS COMPLETED ON DECEMBER 6, 2016. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE REVIEWS MARKET DATA, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS, SUCH AS THE ARTICLES OF INCORPORATION, CORPORATE BYLAWS, GOVERNANCE POLICIES BELIEVED TO BE OF INTEREST TO THE PUBLIC, CONFLICT OF INTEREST POLICIES AND THE IRS FORM 990, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT AND COMPLIANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT. THERE HAS NOT BEEN A CHANGE FROM THE PRIOR YEAR. ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL NY 14843 160743310 HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0