Civic Intelligence

St Anne Home Workers' Compensation Trust

990 • Fiscal year 2015 • EIN 25-6481964

Jul 01, 2014 to Jun 30, 2015 • Filed on May 09, 2016

685 Angela DriveGreensburg, PA 15601

(724) 837-6070

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

25th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Liabilities / Revenue

25th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Net Margin

25th percentile

-6.3%

Higher net margin than 25% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Top Officer Pay

97th percentile

$236,807

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 835.3% of source-year revenue.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Asset Growth

44th percentile

-0.2%

Faster asset growth than 44% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Revenue Growth

1st percentile

-83%

Faster revenue growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Assets

Down

$724,122

Down $1,775 (-0.2%) from 2014

Net Assets

Down

$724,122

Down $1,775 (-0.2%) from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue

Down

$28,350

Down $138,067 (-83%) from 2014

Expenses

Down

$30,125

Down $131,413 (-81%) from 2014

Net Income

Down

-$1,775

Down $6,654 (-136%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2011: $693,882Liabilities 2011: $0Net Assets 2011: $693,8822011Assets 2012: $677,532Liabilities 2012: $0Net Assets 2012: $677,5322012Assets 2013: $721,018Liabilities 2013: $0Net Assets 2013: $721,0182013Assets 2014: $725,897Liabilities 2014: $0Net Assets 2014: $725,8972014Assets 2015: $724,122Liabilities 2015: $0Net Assets 2015: $724,1222015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2015

Assets$724,122
Liabilities$0
Net Assets$724,122

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400K$300K$200K$100K$0-$100KExpenses 2011: $168,5272011Expenses 2012: $210,7762012Expenses 2013: $303,3662013Revenue 2014: $166,417Expenses 2014: $161,538Net Income 2014: $4,8792014Revenue 2015: $28,350Expenses 2015: $30,125Net Income 2015: -$1,7752015Revenue 2016: $18,579Expenses 2016: $34,609Net Income 2016: -$16,0302016

Highlighted filing

2015

Revenue$28,350
Expenses$30,125
Net Income-$1,775
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 9, 2016
Return Version
2014v6.0
Gross Receipts
$127,759
Mission and Program Overview

Mission

Paid workers' compensation claims out of a self-insurance trust for a 501(c)(3) organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$725,897$724,122▼ $1,775
Savings and Temporary Cash Investments$710,654$714,122▲ $3,468
Cash and Non-Interest-Bearing Accounts$15,243$10,000▼ $5,243
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Total Assets$725,897$724,122▼ $1,775
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$725,897$724,122▼ $1,775
Total Liabilities and Net Assets / Fund Balance$725,897$724,122▼ $1,775
Compensation and Service Providers

Employees

NameTitleOtherTotal
Dr Thomas DegregoryDirector$26,736$26,736

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$8,317
Investment Income
$20,033
Other Revenue
$0
Change in Net Assets
$-1,775
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$30,125
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$8,350$0$0$8,350
Total Functional Expenses$30,125$0$0$30,125
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is felician services, inc., an illinois not-for-profit corporation. The sole member has reserved powers.

Form 990, Part VI, Section A, Line 7A

Felician services, inc., the sole member, may appoint, elect, or remove, with or without cause, or determine the number of directors of the corporation.

Form 990, Part VI, Section A, Line 7B

The sole member shall have the sole authority to initiate and approve the following actions: (a) to adopt, alter, amend, or repeal the articles of incorporaton or the bylaws of the corporation; (b) to adopt or revise the statements of philosopy, mission, or purpose of the corporation; (c) to merge, consolidate, dissolve, or otherwise change the corporate structure of the corporation; (d) to authorize the sale, lease, exchange, or other disposition of all or substantially all of the assets of the corporation; (e) to authorize the corporation to incur any indebtedness (other than trade obligations incurred in the regular course of busines), guarantee any indebtedness of another entity, or allow any property of the corporation to secure any indebtedness; (f) to approve the purchase, transfer, sale, long-term lease, or encumbrance of any real property owned by the corporation; (g) to approve the creation of, or the purchase of an equity interest in, any legal entity, or to approve entering into any partnership or joint venture (regardless of its legal form), other than passive investments by the corporation; (h) to approve an annual operating budget, and any capital budget, of the corporation; (i) to approve any unbudgeted operating or capital expenditures in excess of $100,000; (j) to appoint, elect, remove, with or without cause, or determine the number of directors of the corporation; (k) to appoint and remove, with or without cause, the chairperson of the board; (l) to appoint, elect, or remove, with or without cause, the officers of the corporation; (m) to approve the selection of the independent auditors of the corporation; (n) to assure that all actions of the corporaton are consistent with the purposes of the congregation of the sisters of st. Felix of cantalice; (o) to carry out periodic evaluations of the corporation and to otherwise monitor the accomplishment of the goals and the adherence to the philosopy of the corporaton; (p) to approve the long-term and strategic plans of the corporation; and (q) to approve any acts of extraordinary administration under the canon law of the roman catholic church.

Form 990, Part VI, Section B, Line 11

The president and ceo and the director of accounting services performed a detailed review of the form 990. Each member of the board of directors was presented with an electronic or a paper copy of the form 990 before it is filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Each director, principal officer and member of a committee with governing board delegated powers shall annually sign a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, has completed the st. Anne home conflict of interest statement, and understands that st. Anne home is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. To ensure the organization operates in a manner consistent with charitable purposes and does not engage in activities that could jeopardize its tax-exempt status, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include a review of a summary of all the completed annual conflict of interest statements made by all board members. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the governing board or committee meeting, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. The chairperson of the governing board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the governing board or committee shall determine whether the organization can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the governing board or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.

Form 990, Part VI, Section B, Line 15

A range is established for each position based on comparable data, and compensation is increased based on either pre-determined amounts based on a performance review, and/or a market adjustment based on updated comparable data. This process is undertaken annually at the end of each calendar year.

Form 990, Part VI, Section C, Line 19

St. Anne home financial statements are provided to dun & bradstreet annually. The governing documents and conflict of interst policy are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
ST ANNE HOME WORKERS' COMPENSATION TRUST
EIN
25-6481964
Phone
7248376070
Address
685 ANGELA DRIVE, GREENSBURG, PA 15601

Signing Officer

Name
Jeffrey S Long
Title
President and CEO
Phone
7248376070
Signed
2016-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey S Long
Formed
1964
Legal Domicile
Pa
Voting Board Members
16
Independent Board Members
13
Employees
0
Volunteers
10

Preparer

Firm
Baker Tilly Virchow Krause Llp
Address
20 STANWIX ST STE 800, PITTSBURGH, PA 15222
Preparer
Brian R Lenart Ea
Phone
4126976400
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MR JEFFREY S LONG
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1MR DAVID J WARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1DIRECTOR
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE SOLE MEMBER OF THE CORPORATION IS FELICIAN SERVICES, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION. THE SOLE MEMBER HAS RESERVED POWERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FELICIAN SERVICES, INC., THE SOLE MEMBER, MAY APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE SOLE MEMBER SHALL HAVE THE SOLE AUTHORITY TO INITIATE AND APPROVE THE FOLLOWING ACTIONS: (A) TO ADOPT, ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATON OR THE BYLAWS OF THE CORPORATION; (B) TO ADOPT OR REVISE THE STATEMENTS OF PHILOSOPY, MISSION, OR PURPOSE OF THE CORPORATION; (C) TO MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS (OTHER THAN TRADE OBLIGATIONS INCURRED IN THE REGULAR COURSE OF BUSINES), GUARANTEE ANY INDEBTEDNESS OF ANOTHER ENTITY, OR ALLOW ANY PROPERTY OF THE CORPORATION TO SECURE ANY INDEBTEDNESS; (F) TO APPROVE THE PURCHASE, TRANSFER, SALE, LONG-TERM LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; (G) TO APPROVE THE CREATION OF, OR THE PURCHASE OF AN EQUITY INTEREST IN, ANY LEGAL ENTITY, OR TO APPROVE ENTERING INTO ANY PARTNERSHIP OR JOINT VENTURE (REGARDLESS OF ITS LEGAL FORM), OTHER THAN PASSIVE INVESTMENTS BY THE CORPORATION; (H) TO APPROVE AN ANNUAL OPERATING BUDGET, AND ANY CAPITAL BUDGET, OF THE CORPORATION; (I) TO APPROVE ANY UNBUDGETED OPERATING OR CAPITAL EXPENDITURES IN EXCESS OF $100,000; (J) TO APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (K) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD; (L) TO APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; (M) TO APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION; (N) TO ASSURE THAT ALL ACTIONS OF THE CORPORATON ARE CONSISTENT WITH THE PURPOSES OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE; (O) TO CARRY OUT PERIODIC EVALUATIONS OF THE CORPORATION AND TO OTHERWISE MONITOR THE ACCOMPLISHMENT OF THE GOALS AND THE ADHERENCE TO THE PHILOSOPY OF THE CORPORATON; (P) TO APPROVE THE LONG-TERM AND STRATEGIC PLANS OF THE CORPORATION; AND (Q) TO APPROVE ANY ACTS OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE PRESIDENT AND CEO AND THE DIRECTOR OF ACCOUNTING SERVICES PERFORMED A DETAILED REVIEW OF THE FORM 990. EACH MEMBER OF THE BOARD OF DIRECTORS WAS PRESENTED WITH AN ELECTRONIC OR A PAPER COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, HAS COMPLETED THE ST. ANNE HOME CONFLICT OF INTEREST STATEMENT, AND UNDERSTANDS THAT ST. ANNE HOME IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE A REVIEW OF A SUMMARY OF ALL THE COMPLETED ANNUAL CONFLICT OF INTEREST STATEMENTS MADE BY ALL BOARD MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A RANGE IS ESTABLISHED FOR EACH POSITION BASED ON COMPARABLE DATA, AND COMPENSATION IS INCREASED BASED ON EITHER PRE-DETERMINED AMOUNTS BASED ON A PERFORMANCE REVIEW, AND/OR A MARKET ADJUSTMENT BASED ON UPDATED COMPARABLE DATA. THIS PROCESS IS UNDERTAKEN ANNUALLY AT THE END OF EACH CALENDAR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ST. ANNE HOME FINANCIAL STATEMENTS ARE PROVIDED TO DUN & BRADSTREET ANNUALLY. THE GOVERNING DOCUMENTS AND CONFLICT OF INTERST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 9
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