2012-11-10T17:10:50-06:00 2011-12-31 232932984 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2011-01-01 161379536 ST ANN'S HOME FOUNDATION INC STAN 5856976000 1500 PORTLAND AVENUE ROCHESTER NY 14621 DENNIS KANT 5856976000 2012-11-07 1 JULIUS C GREEN CPA JD P00350393 5703236023 2011 2016-02-24 21:20:13Z DENNIS KANT 1500 PORTLAND AVENUE ROCHESTER NY 14621 9327242 0 X WWW.STANNSCOMMUNITY.COM X 1989 NY PROMOTE INDEPENDENCE, PHYSICAL AND SPIRITUAL WELL-BEING OF OLDER ADULTS IN THE CATHOLIC TRADITION. 14 9 6 0 0 0 1891791 1303603 0 0 1554348 1473537 12963 9329 3459102 2786469 1465316 12202582 0 0 347806 399334 58825 5000 29007 337649 299928 2209596 12906844 1249506 -10120375 50989564 39440332 1770348 1094474 49219216 38345858 X SINCE OUR FOUNDING IN 1873, 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. 1 0 12253895 12202582 ST. ANN'S FOUNDATION, INC. EXISTS TO FOSTER FINANCIAL SUPPORT FOR ALL OF ST. ANN'S COMMUNITY. THROUGH FUND RAISING 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. 12253895 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 6 1 0 0 0 0 0 1 1 0 0 0 0 X 14 9 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 X ELIZABETH MULLIN-DIPROSA 4.00 X X 33524 425287 37207 MARTIN K BIRMINGHAM 1.00 X X 0 0 0 RACHAEL BRODY-BANDYCH 1.00 X 0 0 0 PATRICK BURKE 1.00 X 0 0 0 MARK CLEARY 1.00 X 0 0 0 DOMINICK DELUCIA 1.00 X 0 0 0 ANTHONY DIBARNA 1.00 X 0 0 0 GARY HENEHAN 1.00 X X 0 0 0 JAMES LEO 1.00 X 0 0 0 BARBARA J PURVIS 1.00 X 0 0 0 JAY QUINN 1.00 X X 0 0 0 THOMAS TETTE 1.00 X 0 0 0 RONALD SALLUZZO 1.00 X X 0 0 0 KATHY KEOGH 1.00 X 0 0 0 STEVEN S SMITH 34.00 X 114162 18628 19523 WILLIAM T REMIZOWSKI 1.00 X 1393 174734 22270 DENNIS P KANT 1.00 X 459 45430 6204 LORI MCCORMICK 1.00 X 1131 111928 13343 ROBERT BOURG 1.00 X 776 140369 16008 151445 916376 114555 1 0 1 0 0 34024 38947 1230632 118206 1303603 927835 927835 7062999 6517297 545702 545702 545702 32805 38947 23476 9329 9329 2786469 0 0 1482866 12154532 12154532 48050 48050 315819 315819 30172 30172 32065 32065 21278 21278 13625 13625 5000 5000 67789 67789 135394 10442 124952 10335 10335 12211 4220 7991 3521 3521 55 55 5445 5445 RESIDENT FUND EXPENSES 21844 21844 BAD DEBT EXPENSE 5086 5086 PERSON CENTER CARE EXPE 4276 4276 LICENSES, FEES AND DUES 2105 2105 18242 18242 12906844 12253895 623942 29007 1969768 2001943 917768 1310592 2783763 2703635 595 96427 81483 13186 14944 43201207 31380274 2103872 2028349 50989564 39440332 139705 229624 1630643 864850 1770348 1094474 X 40851366 29913036 1620801 1876333 6747049 6556489 49219216 38345858 50989564 39440332 X -10120375 -752983 X 0 1 1 X 0 X X X 0 0 0 ST ANN'S HOME FOR THE AGED 160743146 3 1 1 1 8879338 CHAPEL OAKS INC 161489340 9 1 1 0 ST ANN'S NURSING HOME COMPANY INC DBA THE HERITAGE 237098164 9 1 1 1 2779528 ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE 760705854 9 0 1 1 375313 4 12034179 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4689852 -100140 4589712 4218440 471412 4689852 3437480 780960 4218440 4869226 -1431746 3437480 1.00000 0 0 96427 81483 14944 14944 BENEFICIAL INTEREST IN REMAINDER TRUSTS 2028349 2028349 DUE TO AFFILIATES 796464 SPLIT INTEREST OBLIGATION 68386 864850 2786469 12906844 -10120375 -677460 -75523 -752983 -10873358 1989173 -677460 -75523 -752983 2742156 67789 -23476 44313 2786469 12862531 23476 23476 12839055 67789 67789 12906844 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: 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 2011 AND 2010. THE FOUNDATION'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER DECEMBER 31, 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS -75,523. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUST -75,523. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE -23,476. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 23,476. GOLF TOURNAMENT 33261 22641 10620 1570 5280 2843 466 WINE TASTING 22410 11850 10560 3849 2426 3 16081 4456 11625 2470 2572 2000 71752 38947 32805 1570 7750 9264 4892 23476 9329 1 IRONDEQUOIT SENIOR MINISTRIES CHRIST THE KING CHURCH 445 KINGS HIGHWAY SOUTH ROCHESTER NY 14617 274027386 501(C)(3) 6000 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) 375313 CASH N/A PROVIDE FINANCIAL SUPPORT ST ANN'S HOME FOR THE AGED 1500 PORTLAND AVENUE ROCHESTER NY 14621 160743146 501(C)(3) 8879338 CASH N/A PROVIDE FINANCIAL SUPPORT ST ANN'S NURSING HOME COMPANY INC (THE HERITAGE) 1500 PORTLAND AVENUE ROCHESTER NY 14621 237098164 501(C)(3) 2779528 CASH N/A PROVIDE FINANCIAL SUPPORT 4 0 ANGEL GRANTS FOR ST. ANN'S COMMUNITY RESIDENTS 350 16450 FMV N/A ADULT DAY SCHOLARSHIP GRANTS 10 1600 FMV N/A NURSING SCHOLARSHIPS 18 30000 FMV N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES PERIODIC REPORTS DETAILING THE USE OF THE GRANT FUNDS TO THE BOARD OF DIRECTORS. X X X 1 1 X X X X X 0 0 0 0 0 1 1 0 0 ELIZABETH MULLIN-DIPROSA 33524 319210 0 59040 0 47037 2685 24161 1036 9325 37245 458773 0 0 STEVEN S SMITH 114162 5291 0 13337 0 0 11778 1922 5006 817 130946 21367 0 0 WILLIAM T REMIZOWSKI 1393 153567 0 21167 0 0 134 13289 88 8759 1615 196782 0 0 ROBERT BOURG 776 126557 0 13812 0 0 77 13963 11 1957 864 156289 0 0 PART I, LINE 1A ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $7,022; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $11,277; EMPLOYEE CONTRACT EXPENSES OF $2,700; AND CLUB MEMBERSHIP OF $496. 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 6 80% IS TIED TO KEY ORGANIZATIONAL GOALS. 20% IS TIED TO INDIVIDUAL PERFORMANCE VS. ORGANIZATIONAL GOALS. PATRICK BURKE BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 12855 PATRICK BURKE IS A CURRENT BOARD MEMBER AND REGIONAL PRESIDENT OF FIRST NIAGARA FINANCIAL. PAT BURKE JOINED THE BOARD PRIOR TO THE CONSOLIDATION OF HIS COMPANY, THE BURKE GROUP WITH FIRST NIAGARA. ST ANN'S ENTITIES USE FIRST NIAGARA AS THEIR INSURANCE BROKER AND TPA FOR SHORT TERM DISABILITY. FEES PAID TO FIRST NIAGARA TO ADMINISTER THE CLAIMS TOTAL $12,855 FOR THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOUNDATION, INC. AND RELATED ORGANIZATIONS). 0 JAMES LEO BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 20000 JAMES LEO IS THE CFO FOR WEGMANS FOOD MARKETS. ST. ANN'S PURCHASED GROCERIES FROM WEGMANS. TOTAL COST PAID FOR GROCERIES DURING 2011 WAS $20,000. 0 RACHEL BANDYCH BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 37000 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 $37,000 FOR ST. ANN'S. 0 MARK CLEARY BOARD MEMBER OF ST. ANN'S HOME FOUNDATION, INC. 2200 MARK CLEARY IS A CURRENT BOARD MEMBER AND PRESIDENT OF CITY BLUE IMAGING SERVICES. ST. ANN'S HAS CONTRACTED WITH CITY BLUE IMAGING ON A LIMITED BASIS. TOTAL FEES PAID WERE $2,200 IN 2011. 0 X 3 118206 CLOSING PRICE - FMV 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE FOUNDATION IS REPORTING THE NUMBER OF INDIVIDUALS WHO GAVE VARIOUS AMOUNTS OF VARIOUS SHARES (DETAILED MORE AT SCH. B) TO THE FOUNDATION. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 ST ANN'S COMMUNITY BEGAN IMPLEMENTATION OF A MASTER PLAN TO TRANSFORM THE CARE WE PROVIDE DURING 2010. CONSTRUCTION AT OUR IRONDEQUOIT AND WEBSTER CAMPUSES WAS INITIATED IN THE FALL WITH COMPLETION IN THE SPRING OF 2012. A NEW BUILDING WILL HOUSE AN EXPANDED TRANSITIONAL CARE CENTER AND PALLIATIVE CENTER FOR CARING ON THE IRONDEQUOIT CAMPUS, AND A NEW BUILDING IN WEBSTER WILL ALLOW FOR THE RELOCATION OF SKILLED NURSING BEDS AND TRANSITIONAL CARE SERVICES TO THE CHERRY RIDGE CAMPUS. ONCE COMPLETED THESE NEW BUILDINGS WILL ALLOW FOR THE CLOSURE AND DEMOLITION OF THE HERITAGE FACILITY. STAFF TRAINING AND PLANS WERE INITIATED TO BEGIN TRANSFORMING THE DELIVERY OF CARE THROUGH THE ADOPTION OF PERSON CENTERED CARE METHODS. 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 CEO AND SEVERAL EXECUTIVE COMMITTEE MEMBERS PRIOR TO REVIEW AT THE EXECUTIVE COMMITTEE MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT THE NOVEMBER 2012 EXECUTIVE COMMIETTEE 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. 2011 VPS AND CEO DATA REVIEWED; 2011 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 VII, SECTION A: ALL OFFICERS AND EMPLOYEES REPORTED ON PART VII ARE FULL TIME EMPLOYEES OF THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOUNDATION, INC. ("SAF") AND RELATED ORGANIZATIONS) WORKING AN AVERAGE OF 40 HOURS PER WEEK. HOURS REPORTED IN COLUMN B OF PART VII ARE THE AVERAGE HOURS RELATED TO WORK PERFORMED FOR SAF. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -677,460. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS -75,523. TOTAL TO FORM 990, PART XI, LINE 5: -752,983. 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 0 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1