ST JAMES FOUNDATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ST JAMES FOUNDATION INC (EIN 16-1486437)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-05
IRS object ID
201813099349300646
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-05T10:26:19-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN160765486PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LUMSDEN & MCCORMICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1369 FRANKLIN STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161486437EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES MERCY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJABusinessNameControlTxt
Phone6073248000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 CANISTEO STREETAddressLine1Txt
CityHORNELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP148432104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRYAN O'DONOVANPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone6073248000PhoneNum
Signature2018-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJILL M JOHNSONPreparerPersonNm
PTINP01701478PTIN
Phone7168563300PhoneNum
Preparation2018-10-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.122.36.250IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-24IPDt
IP Tm13:40:20IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id671A1D2E2A2DA0470949DA05EC924F6A7CB8A142AtSubmissionCreationDeviceId
At Submission Filing Device Id7F5E0ACB701E1BB487F84ED1C8C7C99ACE5AA2C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRYAN O'DONOVANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 CANISTEO STREETAddressLine1Txt
CityHORNELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP148432104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$284,951GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.STJAMESMERCY.ORG/FOUNDATION-OVERVIEW.SWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE 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.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$73,179PYContributionsGrantsAmt
CY Contributions Grants$120,668CYContributionsGrantsAmt
PY Program Service Revenue$56,521PYProgramServiceRevenueAmt
CY Program Service Revenue$75,385CYProgramServiceRevenueAmt
PY Investment Income$9,443PYInvestmentIncomeAmt
CY Investment Income$77,893CYInvestmentIncomeAmt
PY Other Revenue-$1,126PYOtherRevenueAmt
CY Other Revenue-$7,372CYOtherRevenueAmt
PY Total Revenue$138,017PYTotalRevenueAmt
CY Total Revenue$266,574CYTotalRevenueAmt
PY Grants And Similar Paid$25,751PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$103,552CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$58,415PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$125,464CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$49,358CYTotalFundraisingExpenseAmt
PY Other Expenses$37,823PYOtherExpensesAmt
CY Other Expenses$67,949CYOtherExpensesAmt
PY Total Expenses$121,989PYTotalExpensesAmt
CY Total Expenses$296,965CYTotalExpensesAmt
PY Revenues Less Expenses$16,028PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,391CYRevenuesLessExpensesAmt
Total Assets BOY$623,338TotalAssetsBOYAmt
Total Assets EOY$704,559TotalAssetsEOYAmt
Total Liabilities BOY$67,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$178,998TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$555,952NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$525,561NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,289ExpenseAmt
Grant$103,552GrantAmt
DescST. 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$51,592ExpenseAmt
Revenue$75,385RevenueAmt
DescTHE 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$103,552ExpenseAmt
Revenue$0RevenueAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$208,433TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID PIERAMICOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6073248141PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 CANISTEO STREETAddressLine1Txt
CityHORNELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14843ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
STEVE PECK
CHAIRPERSON0.30Yes (X)Yes (X)$0$0$0
PETER WALL
VICE CHAIRPERSON0.30Yes (X)Yes (X)$0$0$0
LISA SCHWARTZ
SECRETARY/TREASURER0.30Yes (X)Yes (X)$0$0$0
NANCY BARTELL
MEMBER0.30Yes (X)$0$0$0
KATHY DESSENA
MEMBER0.30Yes (X)$0$0$0
ELLIE MOREY
MEMBER0.30Yes (X)$0$0$0
TERRY PULLMAN
MEMBER0.30Yes (X)$0$0$0
JENNIFER L SULLIVAN
PRESIDENT/CEO1.00Yes (X)$0$275,415$13,65439.00
STANLEY D KONOPKO
CFO0.30Yes (X)$0$142,230$7,89039.70
DUSTIN HEWITT
EXECUTIVE DIRECTOR40.00Yes (X)$58,860$50,155$15,341
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,860TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$467,800TotReportableCompRltdOrgAmt
Total Other Compensation$36,885TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$62,335FundraisingAmt
All Other Contributions$58,333AllOtherContributionsAmt
Total Contributions$120,668TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescAQUINAS GIFT SHOPDesc
Business453220BusinessCd
Total Revenue Column$75,385TotalRevenueColumnAmt
Related Or Exempt Func Income$75,385RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$75,385TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,893TotalRevenueColumnAmt
Exclusion$77,893ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,005FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$62,335ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,377FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,372TotalRevenueColumnAmt
Exclusion-$7,372ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$266,574TotalRevenueColumnAmt
Related Or Exempt Func Income$75,385RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$70,521ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$103,552TotalAmt
Program Services$103,552ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$58,894TotalAmt
Program Services$29,447ProgramServicesAmt
Management And General$29,447ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,152TotalAmt
Program Services$43,152ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,418TotalAmt
Program Services$16,660ProgramServicesAmt
Management And General$6,758ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,667TotalAmt
Program Services$4,713ProgramServicesAmt
Management And General$2,954ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,060TotalAmt
Program Services$4,060ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Program Services$15ProgramServicesAmt
Management And General$15ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
FUNDRAISING EXPENSE$49,358$49,358
MISCELLANEOUS EXPENSE$6,834$6,834

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$296,965TotalAmt
Program Services$208,433ProgramServicesAmt
Management And General$39,174ManagementAndGeneralAmt
Fundraising$49,358FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$49,987BOYAmt
EOY$67,413EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,514BOYAmt
EOY$20,501EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,909LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,894LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44BOYAmt
EOY$15EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$552,793BOYAmt
EOY$616,630EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$623,338BOYAmt
EOY$704,559EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,386BOYAmt
EOY$178,998EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$67,386BOYAmt
EOY$178,998EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$218,359BOYAmt
EOY$155,415EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$309,861BOYAmt
EOY$342,414EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,732BOYAmt
EOY$27,732EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$555,952BOYAmt
EOY$525,561EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$623,338BOYAmt
EOY$704,559EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$30,391ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,165CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,674CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,179CurrentTaxYearMinus1YearAmt
Current Tax Year$120,668CurrentTaxYearAmt
Total$383,555TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,165CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,674CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,179CurrentTaxYearMinus1YearAmt
Current Tax Year$120,668CurrentTaxYearAmt
Total$383,555TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$383,555PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,641CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,443CurrentTaxYearMinus1YearAmt
Current Tax Year$77,893CurrentTaxYearAmt
Total$123,403TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-$4,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,126CurrentTaxYearMinus1YearAmt
Current Tax Year-$7,372CurrentTaxYearAmt
Total-$13,453TotalAmt
FieldValueIRS element (for citing)
Total Support$493,505TotalSupportAmt
Public Support CY1700.77720PublicSupportCY170Pct
Public Support PY1700.94130PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,773BeginningYearBalanceAmt
End Year Balance$2,773EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,732BeginningYearBalanceAmt
End Year Balance$27,732EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,332BeginningYearBalanceAmt
Grants Or Scholarships$1,400GrantsOrScholarshipsAmt
End Year Balance$27,732EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,332BeginningYearBalanceAmt
End Year Balance$26,332EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,279BeginningYearBalanceAmt
Contributions$2,053ContributionsAmt
End Year Balance$26,332EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,909OtherCostOrOtherBasisAmt
Depreciation$19,894DepreciationAmt
Book Value$15BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescASSETS WHOSE USE IS LIMITEDDesc
Book Value$616,630BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$616,630TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationWITH 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 LOBBYExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$36,609GrossReceiptsEvent1Amt
Charitable Contri Event1$30,884CharitableContriEvent1Amt
Gross Revenue Event1$5,725GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,314RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,795FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,786OtherDirectExpensesEvent1Amt
Event2BTBEvent2Nm
Gross Receipts Event2$36,731GrossReceiptsEvent2Amt
Charitable Contri Event2$31,451CharitableContriEvent2Amt
Gross Revenue Event2$5,280GrossRevenueEvent2Amt
Rent Facility Costs Event2$5,189RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$5,293OtherDirectExpensesEvent2Amt
Gross Receipts Total$73,340GrossReceiptsTotalAmt
Charitable Contributions Tot$62,335CharitableContributionsTotAmt
Gross Revenue Total Events$11,005GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,503RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$2,795FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$7,079OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,377DirectExpenseSummaryEventsAmt
Net Income Summary-$7,372NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES MERCY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 CANISTEO STREETAddressLine1Txt
CityHORNELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14843ZIPCd
FieldValueIRS element (for citing)
Recipient EIN160743310RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$103,552CashGrantAmt
Purpose Of GrantSPECIFIC SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION'S BOARD APPROVES ALL TRANSFERS TO ST. JAMES MERCY HOSPITAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER L SULLIVAN
PRESIDENT/CEO$0$275,415$0$0$0$0$0$0$0$13,654$0$289,069$0$0
STANLEY D KONOPKO
CFO$0$142,230$0$0$0$0$0$0$0$7,890$0$150,120$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3STANLEY D. KONOPKO HAS SERVED AS THE ORGANIZATION'S CFO SINCE AUGUST 2013. MR. KONOPKO WAS A PARTNER OF BONADIO & CO., LLP, AN ACCOUNTING FIRM, WHICH WAS PAID $138,581 FOR MR. KONOPKO'S SERVICES AND OTHER SERVICES TO BOTH THE FOUNDATION AND ST. JAMES MERCY HOSPITAL, A RELATED ORGANIZATION, IN 2017. THE FEES WERE PAID BY ST. JAMES MERCY HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6ST. JAMES MERCY HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE GOVERNING BODY ARE ELECTED BY ST. JAMES MERCY HOSPITAL, THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11BA 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 12CA CALL FOR CONFLICTS IS PART OF EVERY BOARD MEETING. THE ANNUAL BOARD OF DIRECTORS EDUCATION SESSION WAS COMPLETED ON FEBRUARY 8, 2018.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19ORGANIZATIONAL 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES MERCY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 CANISTEO STREETAddressLine1Txt
CityHORNELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14843ZIPCd
FieldValueIRS element (for citing)
EIN160743310EIN
Primary ActivitiesHEALTHCARE AND HOSPITAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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