2018-04-14T08:51:27-05:00 2017-05-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2016-06-01 430493215 ST ANDREW'S AT FRANCIS PLACE STAN 3147260111 1001 CRAIG ROAD NO 200 ST LOUIS MO 63146 GARY VENTOLA CFO 3147260111 2018-04-04 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2018-04-04 23:36:36 CD P 7968A843484FCDAFA1EA93B2ACCB533C246A53AD C64F2497C9F983EF2FA6B112E39EF676582BFA31 2016 2021-01-29 14:40:06Z X GARY VENTOLA 1001 CRAIG ROAD NO 200 ST LOUIS MO 63146 7417951 0 X WWW.STANDREWS1.COM X 1968 MO OUR VISION IS A SOCIETY WHERE ALL ELDERS ARE RESPECTED, PRODUCTIVE, SECURE AND FULFILLED. OUR MISSION IS TO EMPOWER ELDERS AND THEIR CAREGIVERS THROUGH CHOICES AND OPTIONS THAT FOSTER A VITAL LIFE. 5 3 173 0 0 0 17588 40484 6855482 7367044 -93999 1734 9892 8689 6788963 7417951 0 0 0 0 2969851 3519684 0 0 0 3708213 3717734 6678064 7237418 110899 180533 9755141 9985487 5145921 5195734 4609220 4789753 X THE OBJECTIVES OF THE ORGANIZATION ARE TO GIVE GOOD CARE TO THE AGED AND CHRONICALLY ILL AND TO RESTORE THEM TO THE BEST POSSIBLE STATE OF HEALTH, PHYSICALLY, MENTALLY AND SPIRITUALLY; TO PARTICIPATE IN PROFESSIONAL EDUCATION AND IN RESEARCH; AND TO PROMOTE INDIVIDUAL AND COMMUNITY HEALTH. 0 0 6271627 7367044 PROVIDE NURSING HOME CARE FOR THE ELDERLY 6271627 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 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 14 0 173 1 0 0 0 0 0 0 0 0 0 0 X 5 3 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X GARY VENTOLA 3147260111 1001 CRAIG ROAD ST LOUIS MO 63146 MARY ALICE RYAN CEO/CHAIR 1.00 40.00 X X 0 315284 12171 SR RITA ANN BREGENHORN VICE CHAIR 0.20 X X 0 0 0 TYLER TROUTMAN COO/SECRETARY/TREASURER 1.00 40.00 X X 0 22885 2765 TIFFANY AZIZ BOARD MEMBER 0.20 X 0 0 0 SR MARY ANN DOOLING BOARD MEMBER 0.20 X 0 0 0 DIANE MEATHEANY PAST COO 1.00 40.00 X X 0 219550 8271 BRAD QUEEN EXECUTIVE DIRECTOR 39.00 1.00 X 97144 0 5525 GARY VENTOLA CFO 1.00 40.00 X 0 102116 9475 CARLA BROOKS PAST CFO 1.00 40.00 X 0 48919 1599 97144 708754 39806 0 0 1 0 ST ANDREW'S MANGEMENT SERVICES 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 MANAGEMENT SERVICES 696955 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 REHAB SERVICES 463821 OMNICARE INC PO BOX 78000 DETROIT MI 482781668 PHARMACY SUPPLY 463821 CONCORDANCE HEALTHCARE SOLUTIONS 2675 SOLUTION CENTER CHICAGO IL 606772006 MEDICAL SUPPLY COMPANY 108435 4 40484 40484 RESIDENT CARE REVENUE 623000 7367044 7367044 7367044 1734 1734 BARBER & BEAUTY SHOP 623000 7382 7382 GUEST MEALS 623000 1303 1303 PERSONAL SERVICES 623000 4 4 8689 7417951 7367044 0 10423 X 97144 97144 2735056 2568847 166209 448599 406886 41713 238885 216672 22213 427621 427621 31264 31264 597402 597402 67718 67718 890900 835019 55881 70024 68112 1912 132995 132995 42339 33620 8719 8649 8649 214298 214298 532459 532459 71897 71897 NFRA / NFAC FEES 443325 443325 REPAIRS AND MAINTENANCE 84953 84953 BAD DEBT 65142 65142 EMPLOYEE SCREENING AND 19649 19649 17099 17099 7237418 6271627 965791 0 909260 968485 8802 706816 883228 680491 17471 14648 20384 31195 7768281 896701 7161837 6871580 143391 110260 610768 602012 9755141 9985487 284690 514734 8802 6816 4748207 4640348 104222 33836 5145921 5195734 X 4609220 4789753 4609220 4789753 9755141 9985487 180533 0 X X 0 1 X 1 0 X 75341 66466 34833 17588 40484 234712 3753775 3594492 4288632 6855482 7367044 25859425 3829116 3660958 4323465 6873070 7407528 26094137 0 1359732 503678 1863410 1359732 503678 1863410 24230727 24874 20152 45026 24874 20152 45026 2011 2011 11536 9892 8689 34139 3856001 3683121 4335001 6882962 7416217 26173302 0.92580 0.91240 0.00170 0.00330 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2012 AMOUNT: $ 2,011. 2013 AMOUNT: $ 2,011. LATE CHARGE REVENUES - 2014 AMOUNT: $ 1,380. 2015 AMOUNT: $ 33. BARBER BEAUTY - 2014 AMOUNT: $ 5,436. 2015 AMOUNT: $ 8,662. 2016 AMOUNT: $ 7,382. GUEST MEALS - 2014 AMOUNT: $ 1,523. 2015 AMOUNT: $ 1,117. 2016 AMOUNT: $ 1,303. LAUNDRY SERVICES - 2014 AMOUNT: $ 893. 2015 AMOUNT: $ 30. PERSONAL SERVICES REVENUE - 2014 AMOUNT: $ 2,304. 2015 AMOUNT: $ 50. 2016 AMOUNT: $ 4. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 370000 370000 6831993 782661 6049332 36035 2470 33565 530253 111570 418683 6871580 BED LICENSES 597403 DEPOSITS 4609 602012 DUE TO AFFILIATES 33836 33836 X 7417951 0 7417951 0 7417951 7237418 0 7237418 0 7237418 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS AS A CUSTODIAN FOR RESIDENTS. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 0 1 0 0 0 0 0 0 0 MARY ALICE RYAN CEO/CHAIR 0 252784 0 62500 0 0 0 0 0 12171 0 327455 0 0 DIANE MEATHEANY PAST COO 0 201550 0 18000 0 0 0 0 0 8271 0 227821 0 0 PART I, LINE 3 THE TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING FACTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT: OFFICIAL COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B MARY ALICE RYAN PARTICIPATES IN A NONQUALIFIED DEFERRED COMPENSATION PLAN SPONSORED BY A RELATED TAXABLE ENTITY, STAMS. SEE THE NOTE FOR LINE 6. PART I, LINE 6 STAMS, A RELATED ENTITY, PROVIDES INCENTIVES BASED ON THE NET EARNINGS OF THE STAMS ORGANIZATION. THE CEO, MARY ALICE RYAN, ALSO RECEIVES DEFERRED COMPENSATION. PER HER EMPLOYMENT CONTRACT THERE IS A SHARED SERVICES CONTRACT WHICH SHARES STAMS EXPENSES WITH ALL RELATED ENTITIES BASED ON DIRECT AND INDIRECTLY ATTRIBUTED COSTS THEREFORE, NO COMPENSATION TO ANY OFFICER OR DIRECTOR IS ATTRIBUTABLE TO THE PORTION OF EARNINGS ASSOCIATED WITH RELATED ORGANIZATIONS SINCE THE NATURE OF THE SHARED SERVICE CONTRACT REIMBURSES STAMS FOR COSTS ONLY AND IS NOT DEPENDENT ON NET INCOME, REVENUE, OR OTHER FACTORS OF RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: MARY ALICE RYAN, TYLER TROUTMAN AND DIANE MEATHEANY HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER DUE TO THE FACT THAT THEY ARE ALSO OFFICERS OF A RELATED TAXABLE ENTITY, ST. ANDREW'S MANAGEMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE AUGUST 1, 2014, THE ORGANIZATION ENTERED INTO A MANAGEMENT CONTRACT WITH ST. ANDREW'S MANAGEMENT SERVICES (STAMS). FORM 990, PART VI, SECTION A, LINE 6 IN 2014, THE ORGANIZATION AMENDED ITS BY-LAWS TO INCLUDE MEMBERS. THE MEMBERS ARE THE URSULINE SISTERS EUREKA MEMBER CORPORATION, A MISSOURI NONPROFIT CORPORATION AND ST. ANDREW'S RESOURCES FOR SENIORS SYSTEM (STARSS), A MISSOURI NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE URSULINE SISTERS RECEIVED RIGHTS TO APPOINT ONE LESS THAN HALF OF THE DIRECTORS, AND ST. ANDREW'S RESOURCES FOR SENIORS SYSTEM (STARSS) RECEIVED RIGHTS TO APPOINT ONE MORE THAN HALF OF THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS ARE REQUIRED TO APPROVE CERTAIN TRANSACTIONS SET FORTH IN THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS REVIEWED BY THE CFO FOR ACCURACY AND EMAILED TO BOTH THE ADMINISTRATION AND FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS. THE FINAL FORM 990 IS EMAILED TO THE CFO FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL CONFLICT OF INTEREST DISCLOSURE IS COMPLETED BY EACH BOARD OF DIRECTORS MEMBER, SUBMITTED AND REVIEWED BY THE ENTIRE BOARD. IF ANY CONFLICTS ARISE WITH ANY MEMBER, THAT MEMBER IS THEN EXCLUDED IN ANY VOTING FOR APPLICABLE SUBJECT AREAS. THERE IS ALSO A CORPORATE COMPLIANCE POLICY WHICH IS REVIEWED WITH ALL EMPLOYEES ANNUALLY AND PERIODICALLY AUDITED WITH RESPECT TO OPERATIONAL COMPLIANCE. A TAX PREPARATION QUESTIONNAIRE IS ALSO COMPLETED BY EACH BOARD OF DIRECTORS MEMBER AND KEY EMPLOYEES BEFORE FILING IN ORDER TO ENSURE THAT THE DETAILS OF ANY CONFLICTS OR RELATIONSHIPS THAT MIGHT CAUSE CONFLICTS ARE IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICIALS. A RELATED ORGANIZATION COMPENSATES THE CEO, EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 597,402. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 597,402. FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GOOD SAMARITAN INC 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 430666750 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12B, II ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 GOOD SAMARITAN INDEPENDENT LIVING INC 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 431825029 ASSISTED AND INDEPENDENT LIVING MO 501(C)(3) LINE 10 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S CHARITABLE FOUNDATION 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 260568165 FUNDRAISING MO 501(C)(3) LINE 7 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S RESOURCES FOR SENIORS 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 430784786 HOME HEALTH SERVICES MO 501(C)(3) LINE 10 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 260568133 RETIREMENT HOME MO 501(C)(3) LINE 10 0 ST ANDREW'S ASSISTED LIVING OF BRIDGETON 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 431744746 RETIREMENT HOME MO 501(C)(3) LINE 10 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S AT HOME SERVICES LLC 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 260314772 AT HOME HEALTHCARE SERVICES MO 501(C)(3) LINE 10 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 SASC LLC 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 870806356 HOME HEALTH CARE MO N/A ST ANDREW'S MANAGEMENT SERVICES 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 431250225 NURSING HOME MANAGEMENT MO N/A C 0 ST ANDREW'S REAL ESTATE TRUST 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 616580349 REAL ESTATE TRUST MO T 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 ST ANDREW'S MANAGEMENT SERVICES M 437000 MANAGEMENT AGREEMENT