2013-11-08T16:09:42-06:00 2012-12-31 232932984 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2012-01-01 161379536 ST ANN'S HOME FOUNDATION INC STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT 5856976000 2013-11-08 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-24 21:20:13Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 5375868 0 X WWW.STANNSCOMMUNITY.COM X 1989 NY PROMOTES INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS IN THE CATHOLIC TRADITION. 16 14 6 15 0 0 1303603 1317465 0 0 1473537 1291906 9329 -2266 2786469 2607105 12202582 1766777 0 0 399334 445913 5000 0 36123 299928 405654 12906844 2618344 -10120375 -11239 39440332 41787815 1094474 871794 38345858 40916021 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 1818979 1766777 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. 1818979 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 6 1 0 0 0 0 0 1 1 0 0 0 0 X 16 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DENNIS KANT CFO 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 MARTIN K BIRMINGHAM 1.00 39.00 X 0 0 0 RACHAEL BRODY-BANDYCH 1.00 39.00 X 0 0 0 PATRICK BURKE 1.00 39.00 X 0 0 0 MARK CLEARY 1.00 39.00 X 0 0 0 DOMINICK DELUCIA 1.00 39.00 X 0 0 0 GARY HENEHAN 1.00 39.00 X 0 0 0 JAMES LEO 1.00 39.00 X 0 0 0 JOHN HAYES 1.00 39.00 X 0 0 0 THOMAS TETTE 1.00 39.00 X 0 0 0 SANDY PARKER 1.00 39.00 X 0 0 0 KATHY KEOGH 1.00 39.00 X 0 0 0 ROBERT RYAN 1.00 39.00 X 0 0 0 NICOLE MARRO 1.00 39.00 X 0 0 0 ELIZABETH MULLIN-DIPROSA 4.00 36.00 X X 0 472728 47864 ANTHONY DIBARNABA 1.00 39.00 X X 0 0 0 RONALD SALLUZZO 1.00 39.00 X X 0 0 0 DENNIS KANT 1.00 39.00 X 0 214068 42144 MICHAEL MCRAE 0.00 40.00 X 0 214334 42124 ROBERT BOURG 0.00 40.00 X 0 152243 22073 DIANE KANE MD 1.00 39.00 X 0 284173 54449 JOHN JURIK 0.00 40.00 X 0 189372 40270 JARVIS SANCHEZ-RIVERA 0.00 40.00 X 0 173763 38983 MICHELE SINCLAIR 0.00 40.00 X 0 173092 37032 0 1873773 324939 0 0 1 0 0 43101 12958 1261406 14522 1317465 867433 867433 3184553 2760080 424473 424473 424473 6417 12958 8683 -2266 -2266 2607105 0 0 1289640 1710775 1710775 56002 56002 328643 328643 58874 58874 36118 36118 22278 22278 13858 13858 81133 81133 216040 216040 22965 22965 7950 2269 5681 6517 6517 5207 5207 RESIDENT FUND EXPENSES 26553 26553 PERSON CENTER CARE EXPE 14929 14929 BAD DEBT EXPENSE 2469 2469 LICENSES, FEES AND DUES 775 775 7258 6298 960 2618344 1818979 763242 36123 256517 2001943 1625120 1310592 918519 5890 2703635 2620241 595 97581 86690 14944 10891 31380274 34344890 2028349 2005747 39440332 41787815 229624 328297 864850 543497 1094474 871794 X 29913036 32019474 1876333 1848488 6556489 7048059 38345858 40916021 39440332 41787815 X -11239 2604004 -22600 X 0 1 X 1 0 X X X 0 0 0 ST ANN'S HOME FOR THE AGED 160743146 3 1 1 1 709491 CHAPEL OAKS INC 161489340 9 1 1 37091 ST ANN'S NURSING HOME COMPANY INC DBA THE HERITAGE 237098164 9 1 1 1 455501 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 760705854 9 0 1 1 2937 4 1205020 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4589712 533252 5122964 4689852 -100140 4589712 4218440 471412 4689852 3437480 780960 4218440 4869226 -1431746 3437480 0.00000 1.00000 0.00000 0 0 97581 86690 10891 10891 DUE TO AFFILIATES 476912 SPLIT INTEREST OBLIGATION 66585 543497 X 5116057 2604004 -22602 2581402 2534655 81133 -8683 72450 2607105 2545894 8683 8683 2537211 81133 81133 2618344 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME FROM THE ENDOWMENT FUND IS TO BE USED FOR THE GENERAL PURPOSES OF THE FOUNDATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE FOUNDATION'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2009 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -41,682. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUST 19,080. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE -8,683. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 8,683. ANGEL BUS TRIP 6339 2295 4044 848 2400 925 CHRISTMAS PARTY 5963 5963 1700 3 7073 4700 2373 1610 1200 19375 12958 6417 4158 2400 2125 8683 -2266 1 IRONDEQUOIT SENIOR MINISTRIES CHRIST THE KING CHURCH 445 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 274027386 501(C)(3) 6500 CASH N/A OPERATING SUPPORT FOR OUTREACH SERVICES TO SENIORS LIVING IN ST. ANN'S SERVICE AREA. ST ANN'S OF GREATER ROCHESTER INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 501(C)(3) 379448 CASH N/A SUPPORT FOR OPERATING EXPENSES ST ANN'S HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 501(C)(3) 709491 CASH N/A SUBSTANTIAL SUPPORT TO CAPITAL IMPROVEMENTS, INCLUDING CONSTRUCTION OF NEW BUILDINGS; DIRECT SUPPORT TO RECREATION THERAPY ACTIVITIES; STAFF EDUCATION PROGRAMS; AND RESIDENT QUALITY OF LIFE PROGRAMS. ST ANN'S NURSING HOME COMPANY INC (THE HERITAGE) 1500 PORTLAND AVENUE ROCHESTER NY 14621 237098164 501(C)(3) 455501 CASH N/A SUBSTANTIAL SUPPORT TO CAPITAL IMPROVEMENTS, INCLUDING CONSTRUCTION OF NEW BUILDINGS; DIRECT SUPPORT TO RECREATION THERAPY ACTIVITIES; STAFF EDUCATION PROGRAMS; AND RESIDENT QUALITY OF LIFE PROGRAMS. CHAPEL OAKS INC 1500 PORTLAND AVENUE ROCHESTER NY 14621 161489340 501(C)(3) 37091 CASH N/A SUPPORT FOR EQUIPMENT PURCHASES AND CAPITAL IMPROVEMENTS ST ANN'S SENIOR HOUSING INC (CHERRY RIDGE) 1500 PORTLAND AVENUE ROCHESTER NY 14621 760705854 501(C)(3) 2937 CASH N/A SUPPORT OF CAPITAL IMPROVEMENTS. ANGEL GRANTS FOR ST. ANN'S COMMUNITY RESIDENTS 400 22492 0 FMV N/A ADULT DAY SCHOLARSHIP GRANTS 10 2200 0 FMV N/A NURSING SCHOLARSHIPS 16 30500 0 FMV N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 ELIZABETH MULLIN-DIPROSA 0 368446 0 70400 0 33882 0 37055 0 10809 0 520592 0 0 DENNIS KANT 0 214068 0 0 0 0 0 28751 0 13393 0 256212 0 0 MICHAEL MCRAE 0 187423 0 26911 0 0 0 29455 0 12669 0 256458 0 0 ROBERT BOURG 0 130519 0 21724 0 0 0 19863 0 2210 0 174316 0 0 DIANE KANE MD 0 265529 0 18644 0 0 0 39708 0 14741 0 338622 0 0 JOHN JURIK 0 189372 0 0 0 0 0 29358 0 10912 0 229642 0 0 JARVIS SANCHEZ-RIVERA 0 173763 0 0 0 0 0 27294 0 11689 0 212746 0 0 MICHELE SINCLAIR 0 154992 0 18100 0 0 0 24683 0 12349 0 210124 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $6,168; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $19,628; AND CLUB MEMBERSHIP OF $474. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION IN THE FORM W-2. PART I, LINE 7 80% IS TIED TO KEY ORGANIZATIONAL GOALS. 20% IS TIED TO INDIVIDUAL PERFORMANCE VS. ORGANIZATIONAL GOALS. RACHEL BANDYCH BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 31758 RACHEL BANDYCH IS A CURRENT BOARD MEMBER AND ATTORNEY FOR UNDERBERG & KESSLER, LLP. PRIOR TO HER JOINING THE BOARD AND NOW AS SHE IS A BOARD MEMBER, ST ANN'S CONTRACTS WITH UNDERBERG & KESSLER, LLP FOR LEGAL SERVICES. TOTAL FEES PAID TO UNDERBERG & KESSLER, LLP WERE $31,758 FOR ST. ANN'S. 0 FORM 990, PART VI, SECTION B, LINE 11 THE INFORMATION FOR THE REPORTS IS PREPARED BY ST. ANN'S STAFF, PROVIDED AND REVIEWED BY PARENTEBEARD. FINAL REPORTS ARE REVIEWED BY THE ACCOUNTING TEAM, INCLUDING THE DIRECTOR OF FINANCE AND CFO, PROVIDED TO THE CEO AND SEVERAL EXECUTIVE COMMITTEE MEMBERS PRIOR TO REVIEW AT THE EXECUTIVE COMMITTEE MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT THE NOVEMBER 2013 EXECUTIVE COMMITTEE MEETING AT WHICH TIME THE REPORTS ARE APPROVED. 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 EVERY 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. 2012 VPS AND CEO DATA REVIEWED; 2012 DIRECTOR LEVEL DATA REVIEWED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, LINE 1A: 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS -22,600. FORM 990, PART V, LINE 2A: ALL INDIVIDUALS WORKING AT ST. ANN'S HOME 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 BENEFIT EXPENSE 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) 3 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