2018-10-10T18:31:59-05:00 2017-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2017-01-01 161379536 ST ANN'S FOUNDATION INC STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT SENIOR VICE PRESIDENT & CFO 5856976307 2018-10-08 1 JENNIFER ARBORE P00893012 5853811000 4.14.157.194 2018-10-08 13:48:14 ED P 23025919B01E351967CFBA1C5A22CB7E3130E6CC 2A22BA26F373D360A03047A3E7179D329D22E12C 2017 2018-06-14 16:35:46Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 14584794 0 X WWW.STANNSCOMMUNITY.COM X 1989 NY PROMOTES INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS IN THE CATHOLIC TRADITION 13 12 0 0 0 0 724575 1812601 0 0 1434543 1412067 0 0 2159118 3224668 3096485 1040713 0 0 525434 482668 0 0 52736 270940 277000 3892859 1800381 -1733741 1424287 44316562 49939575 1173388 623697 43143174 49315878 X SINCE OUR FOUNDING IN 1874, OUR MISSION HAS BEEN 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. TO FULFILL THIS MISSION, ST. ANN'S COMMUNITY OFFERS A CONTINUUM OF SERVICES FOR SENIORS IN THE GREATER ROCHESTER AREA. ST. ANN'S COMMUNITY, OTHERWISE KNOWN AS ST. ANN'S OF GREATER ROCHESTER, INC., DELIVERS THESE SERVICES THROUGH THESE AFFILIATED ORGANIZATIONS: ST. ANN'S HOME FOR THE AGED, ST. ANN'S NURSING HOME COMPANY, INC., CHAPEL OAKS, INC., ST. ANN'S FOUNDATION, INC. AND ST. ANN'S SENIOR HOUSING, INC. ST. ANN'S FOUNDATION, INC. EXISTS TO FOSTER FINANCIAL SUPPORT FOR ALL OF ST. ANN'S COMMUNITY. ESTABLISHED IN 1989, ST. ANN'S FOUNDATION WAS CREATED TO MATCH FINANCIAL SUPPORT WITH THE PROGRAMS AND INITIATIVES THROUGHOUT ST. ANN'S COMMUNITY THAT ARE PART OF THIS ORGANIZATION'S CONTINUUM OF HEALTH AND RESIDENTIAL SERVICES. 0 0 1077903 1040713 0 ST. ANN'S FOUNDATION, INC. EXISTS TO FOSTER FINANCIAL SUPPORT FOR ALL OF ST. ANN'S COMMUNITY. THROUGH FUNDRAISING EVENTS, GRANT WRITING, AND INDIVIDUAL GIVING, THE FOUNDATION SECURED CONTRIBUTIONS TO DIRECTLY SUPPORT PROGRAMS, EQUIPMENT AND SCHOLARSHIP PROGRAMS THAT DIRECTLY BENEFITED THE SENIORS SERVED BY ST. ANN'S COMMUNITY. 1077903 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 13 12 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 RACHEL BRODY-BANDYCH IMMEDIATE PAST CHAIR 1.00 X 0 0 0 JAMES LEO DIRECTOR 1.00 X 0 0 0 RONALD SALLUZZO CHAIR 1.00 X 0 0 0 MARK CLEARY DIRECTOR 1.00 X 0 0 0 MICHAEL MCRAE PRESIDENT/CEO 0.00 40.00 X X 0 405812 64609 JOHN HAYES SECRETARY/TREASURER 1.00 X 0 0 0 BERNIE IACOVANGELO DIRECTOR 1.00 X 0 0 0 THOMAS TETTE DIRECTOR 1.00 X 0 0 0 VIC SALERNO DIRECTOR 1.00 X 0 0 0 NICOLE MARRO CHAIR ELECT 1.00 X 0 0 0 JAMES VERDI DIRECTOR 1.00 X 0 0 0 ANDREW HISLOP DIRECTOR 1.00 X 0 0 0 GREG KAUSCH DIRECTOR 1.00 X 0 0 0 DENNIS KANT SVP/CFO 0.00 40.00 X 0 235421 16903 STEVEN SMITH VP OF FOUNDATION AND RESOURCE DEVELOPMENT 34.00 6.00 X 0 177717 10746 0 818950 92258 0 0 1 0 0 50 39940 1772611 1812601 1224969 1224969 11510359 11323261 187098 187098 187098 36865 39940 36865 0 3224668 0 0 1412067 985946 985946 54767 54767 389934 389934 25975 25975 42273 42273 24486 24486 13575 13575 49179 49179 3145 3145 14373 14373 28837 817 13829 14191 3507 3507 522 522 OTHER EXPENSES 95407 3963 73419 18025 INTERCOMPANY SUPPORT AL 33927 33927 PERSON CENTERED CARE EX 22040 22040 LICENSES, FEES & DUES 7032 885 6147 5456 5456 1800381 1077903 669742 52736 650810 1658624 583449 617091 141949 46212 23582 29939 0 8182 100825 98117 482 2708 38923124 43493440 3993166 4083379 44316562 49939575 124312 110267 1049076 513430 1173388 623697 X 29420607 32866772 8418970 10918703 5303597 5530403 43143174 49315878 44316562 49939575 X 1424287 4540702 207715 X X 0 1 X 1 0 X X 4 ST ANN'S HOME FOR THE AGED 160743146 10 1 514007 0 CHAPEL OAKS INC 161489340 10 1 1450 0 ST ANN'S NURSING HOME COMPANY INC 237098164 10 1 8635 0 ST ANN'S SENIOR HOUSING INC 760705854 10 1 41854 0 4 565946 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 11403430 22410 1812991 37353 13201478 10076511 114861 1212058 11403430 9544365 813564 -281418 10076511 9049550 494815 9544365 7635456 1414094 9049550 0.01600 0.24520 0.73880 0 0 100825 98117 2708 2708 BENEFICIAL INTEREST IN PERPETUAL TRUST 2293856 BENEFICIAL INTEREST IN REMAINDER TRUST 38546 DUE FROM AFFILIATES 1750977 4083379 DUE TO AFFILIATES 460860 SPLIT INTEREST OBLIGATION 52570 513430 X 7960771 4540702 207715 4748417 3212354 49179 -36865 12314 3224668 1788067 36865 36865 1751202 49179 49179 1800381 PART V, LINE 4: INCOME FROM THE ENDOWMENT FUND IS TO BE USED FOR THE GENERAL PURPOSES OF THE FOUNDATION. PART X, LINE 2: THE FOUNDATION IS A NONPROFIT 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 THE FOUNDATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 204,396. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUST 3,319. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE -36,865. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 36,865. SALON EVENT 12900 9076 3824 3824 CHOPPED! 63905 30864 33041 12246 14582 450 5763 76805 39940 36865 12246 18406 450 5763 36865 0 1 ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 501(C)(3) 420000 CASH N/A SUPPORT FOR OPERATING EXPENSES ST ANN'S HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 501(C)(3) 514007 CASH N/A SUBSTANTIAL SUPPORT TO CAPITAL IMPROVEMENTS, INCLUDING CONSTRUCTION OF NEW BUILDINGS; DIRECT SUPPORT TO RECREATION THERAPY; STAFF EDUCATION PROGRAMS; AND RESIDENT QUALITY LIFE PROGRAMS. ST ANN'S NURSING HOME COMPANY INC (THE HERITAGE) 1500 PORTLAND AVENUE ROCHESTER NY 14621 237098164 501(C)(3) 8635 CASH N/A SUBSTANTIAL SUPPORT TO CAPITAL IMPROVEMENTS, INCLUDING CONSTRUCTION OF NEW BUILDINGS; DIRECT SUPPORT TO RECREATION THERAPY; STAFF EDUCATION PROGRAMS; AND RESIDENT QUALITY LIFE PROGRAMS. ST ANN'S SENIOR HOUSING INC (CHERRY RIDGE) 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 501(C)(3) 41854 CASH N/A SUPPORT FOR CAPITAL IMPROVEMENTS 4 0 NURSING SCHOLARSHIPS 29 26800 FMV N/A ANGEL FUND GRANTS FOR ST. ANN'S COMMUNITY RESIDENTS 649 27287 FMV INDIVIDUAL ASSISTANCE TO RESIDENTS (GRANTS RANGING IN SIZE FROM $5 TO $100) ADULT DAY CARE SCHOLARSHIPS 15 680 FMV INDIVIDUAL ASSISTANCE TO ADS PARTICIPANTS PART I, LINE 2: FOUNDATION STAFF MONITOR GRANT AND PROJECT EXPENDITURES AGAINST BUDGET AND AS APPROPRIATE SECURE PROJECT EVALUATIONS ALL TO ENSURE THAT FUNDS PROVIDED FULFILL THE DONOR RESTRICTIONS AND OR OTHER REQUIREMENTS FOR THE GRANT. X X X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL MCRAE PRESIDENT/CEO 0 405812 0 0 0 0 0 21160 0 43449 0 470421 0 0 DENNIS KANT SVP/CFO 0 235421 0 0 0 0 0 4264 0 12639 0 252324 0 0 STEVEN SMITH VP OF FOUNDATION AND RESOURCE DEVELO 0 177717 0 0 0 0 0 3328 0 7418 0 188463 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $3,095; AND REIMBURSEMENT OF PROFESSIONAL COACHING FEES OF $24,464. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE SENIOR VP/ADMINISTRATOR 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 67600 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 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS MADE UP OF THE CHAIRS OF EACH BOARD COMMITTEE, ALONG WITH THE IMMEDIATE PAST BOARD CHAIR. ALL OF THE MEMBERS ARE ON THE BOARD. WHILE VIRTUALLY ALL DECISIONS GO TO THE BOARD FOR FINAL APPROVAL, THE EXECUTIVE COMMITTEE CAN ACT AS A DECISION-MAKING GROUP PER THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION FOR THE REPORT IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY BONADIO & CO., 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 VP 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. 2017 VPS AND CEO DATA REVIEWED; 2017 DIRECTOR LEVEL DATA REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENT, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 204,396. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUST 3,319. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. FORM 990, PART V, LINE 2A: ALL INDIVIDUALS WORKING AT ST. ANN'S FOUNDATION, INC. ("SAF") 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 BENEFITS EXPENSES REPORTED ON FORM 990, PART IX ARE SAF'S ALLOCATED PAYROLL COSTS BASED ON TIME SPENT BY THE SHARED EMPLOYEES. SAH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 HEALTH CARE NY 501(C)(3) 9 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 HEALTH CARE NY 501(C)(3) 9 ST ANN'S OF GREATER ROCHESTER INC 0 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 HEALTH CARE NY 501(C)(3) 9 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 HEALTH CARE 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 HEALTH CARE NY 501(C)(3) 11B N/A 0 1 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1