2017-02-15T09:40:25-06:00 2016-05-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-06-01 430493215 ST ANDREW'S AT FRANCIS PLACE STAN 3147260111 6633 DELMAR BLVD NO 200 ST LOUIS MO 63130 GARY VENTOLA CFO 3147260111 2017-02-14 1 JEFF PARKER P00970069 3149254300 2015 2021-01-29 14:40:06Z GARY VENTOLA 6633 DELMAR BLVD NO 200 ST LOUIS MO 63130 6882962 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 3 138 3 0 0 1034833 17588 4288632 6855482 2518269 -93999 11536 9892 7853270 6788963 0 0 0 0 1526541 2969851 0 0 0 2995591 3708213 4522132 6678064 3331138 110899 6918194 9755141 2419873 5145921 4498321 4609220 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 4934896 6855482 PROVIDE NURSING HOME CARE FOR THE ELDERLY 4934896 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 17 0 138 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 6633 DELMAR BLVD ST LOUIS MO 63130 MARY ALICE RYAN CEO/CHAIR 1.00 40.00 X X 0 283943 23155 SR RITA ANN BREGENHORN VICE CHAIR 0.20 0.00 X X 0 0 0 DIANE MEATHEANY COO/SECRETARY/TREASURER 1.00 40.00 X X 0 192307 7869 BRAD QUEEN EXECUTIVE DIRECTOR 39.00 1.00 X 82663 0 7273 GARY VENTOLA CFO 1.00 40.00 X 0 0 0 ASHLEY TURIGLIATTO BOARD MEMBER 0.20 0.00 X 0 0 0 SR MARY ANN DOOLING BOARD MEMBER 0.20 0.00 X 0 0 0 GREGORY ELLIOT PAST CFO 1.00 40.00 X 0 203554 6678 CARLA BROOKS PAST CFO 1.00 40.00 X 0 99534 2976 82663 779338 47951 0 0 1 0 APF PO BOX 823461 PHILADELPHIA PA 19182 CONTRACTED NURSE STAFFING 671229 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 60680 REHAB SERVICES 320050 NURSE STAFFING GROUP MO LLC PO BOX 4729 WINTER PARK FL 32793 CONTRACTED NURSE STAFFING 118569 3 17588 17588 RESIDENT CARE REVENUE 623000 6855482 6855482 6855482 93999 -93999 -93999 -93999 BARBER & BEAUTY SHOP 623000 8662 8662 GUEST MEALS 623000 1117 1117 PERSONAL SERVICES 623000 50 50 63 63 9892 6788963 6855482 0 -84107 X 98831 98831 2324804 2135586 189218 341481 300897 40584 204735 180402 24333 325370 325370 39927 39927 28220 28220 1143542 1143542 72740 72740 816832 774173 42659 82550 66290 16260 160528 160528 15980 12271 3709 2913 2913 83541 83541 321261 321261 71885 71885 NFRA / NFAC FEES 324951 324951 BAD DEBT 90630 90630 REPAIRS AND MAINTENANCE 70577 70577 EMPLOYEE SCREENING AND 36923 36923 19843 19843 6678064 4934896 1743168 0 768880 909260 3407 8802 728105 883228 15916 17471 23553 20384 7559209 397372 4607757 7161837 164417 143391 606159 610768 6918194 9755141 1231023 284690 3407 8802 1126587 4748207 58856 104222 2419873 5145921 X 4498321 4609220 4498321 4609220 6918194 9755141 110899 0 X X 0 1 X 1 0 X 53076 75341 66466 34833 17588 247304 3587147 3753775 3594492 4288632 6855482 22079528 3640223 3829116 3660958 4323465 6873070 22326832 0 1359732 503678 1863410 1359732 503678 1863410 20463422 29446 24874 20152 74472 29446 24874 20152 74472 2323 2011 2011 11536 9892 27773 3671992 3856001 3683121 4335001 6882962 22429077 0.91240 0.92170 0.00330 0.00520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2011 AMOUNT: $ 2,323. 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. GUEST MEALS - 2014 AMOUNT: $ 1,523. 2015 AMOUNT: $ 1,117. LAUNDRY SERVICES - 2014 AMOUNT: $ 893. 2015 AMOUNT: $ 30. PERSONAL SERVICES REVENUE - 2014 AMOUNT: $ 2,304. 2015 AMOUNT: $ 50. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 370000 370000 6791164 346378 6444786 32535 814 31721 365510 50180 315330 7161837 BED LICENSES 597403 DEPOSITS 13365 610768 DUE TO AFFILIATES 104222 104222 X 6788963 0 6788963 0 6788963 6678064 0 6678064 0 6678064 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS AS A CUSTODIAN FOR RESIDENTS. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. 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 217050 0 66893 0 0 0 12740 0 10415 0 307098 0 12087 DIANE MEATHEANY COO/SECRETARY/TREASURER 0 184084 0 8223 0 0 0 0 0 7869 0 200176 0 0 GREGORY ELLIOT PAST CFO 0 203554 0 0 0 0 0 0 0 6678 0 210232 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 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 HTE 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 11 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 KEYE 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 1,143,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,143,542. FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GOOD SAMARITAN INC 6633 DELMAR BLVD ST LOUIS MO 63130 430666750 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 11B, II ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 GOOD SAMARITAN INDEPENDENT LIVING INC 6633 DELMAR BLVD ST LOUIS MO 63130 431825029 ASSISTED AND INDEPENDENT LIVING MO 501(C)(3) LINE 9 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S CHARITABLE FOUNDATION 6633 DELMAR BLVD ST LOUIS MO 63130 260568165 FUNDRAISING MO 501(C)(3) LINE 7 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S RESOURCES FOR SENIORS 6633 DELMAR BLVD ST LOUIS MO 63130 430784786 HOME HEALTH SERVICES MO 501(C)(3) LINE 9 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 6633 DELMAR BLVD ST LOUIS MO 63130 260568133 RETIREMENT HOME MO 501(C)(3) LINE 9 0 ST ANDREW'S ASSISTED LIVING OF BRIDGETON 6633 DELMAR BLVD ST LOUIS MO 63130 431744746 RETIREMENT HOME MO 501(C)(3) LINE 9 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 ST ANDREW'S AT HOME SERVICES LLC 6633 DELMAR BLVD ST LOUIS MO 63130 260314772 AT HOME HEALTHCARE SERVICES MO 501(C)(3) LINE 9 ST ANDREW'S RESOURCES FOR SENIORS SYSTEM 0 SASC LLC 6633 DELMAR BLVD ST LOUIS MO 63130 870806356 HOME HEALTH CARE MO N/A ST ANDREW'S MANAGEMENT SERVICES 6633 DELMAR BLVD ST LOUIS MO 63130 431250225 NURSING HOME MANAGEMENT MO N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 ST ANDREW'S MANAGEMENT SERVICES M 322000 MANAGEMENT AGREEMENT