2022-11-14T07:42:21-06:00 2021-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2021-01-01 161469476 ST JOHN'S HEALTH CARE CORPORATION STJO 5857601473 150 HIGHLAND AVE ROCHESTER NY 14620 ROBERT EARL VP FINANCE 5857601473 2022-11-09 1 ROBERT EARL 999009999 AMANDA L DELLA SALA P02064655 5853811000 2022-11-02 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ROBERT EARL 150 HIGHLAND AVE ROCHESTER NY 14620 43446483 0 X N/A X 1995 NY ST. JOHN'S HOME EMBRACES LIFE WITH VIBRANT, CARING AND LIFE-AFFIRMING RELATIONSHIPS.ST. JOHN'S WILL LEAD AND INSPIRE A SHIFT IN SOCIETY'S VIEWS OF ELDERHOOD BY EMBRACING AND CELEBRATING LIFE'S EXPERIENCES. A SKILLED NURSING HOME PROVIDING A FULL RANGE OF SERVICES, ST. JOHN'S HOME EXISTS TO ENHANCE THE LIVES OF ALL ELDERS ENTRUSTED TO OUR CARE. 6 6 1045 50 0 0 3282713 8407589 38501844 34943978 0 0 131581 94916 41916138 43446483 85350 0 0 0 30558854 25217486 0 0 0 14053365 13675590 44697569 38893076 -2781431 4553407 30166228 28699154 34963552 29123544 -4797324 -424390 X A SKILLED NURSING HOME PROVIDING A FULL RANGE OF SERVICES, ST. JOHN'S HOME EXISTS TO ENHANCE THE LIVES OF ALL ELDERS ENTRUSTED TO OUR CARE. OUR MISSION IS TO EMBRACE LIFE WITH VIBRANT, CARING AND LIFE-AFFIRMING RELATIONSHIPS.ST. JOHN'S WILL LEAD AND INSPIRE A SHIFT IN SOCIETY'S VIEWS OF ELDERHOOD BY EMBRACING AND CELEBRATING LIFE'S EXPERIENCES. 0 0 34424181 34943978 ST. JOHN'S HOME IS A 455-BED SENIOR NURSING FACILITY PROVIDING SKILLED NURSING CARE; REHAB SERVICES; MEMORY CARE, COMFORT CARE AND HOSPICE; AND ADULT DAY SERVICES. ST JOHN'S STRIVES TO CREATE AN ENVIRONMENT THAT DELIVERS INDIVIDUALIZED CARE IN A HOME-LIKE SETTING. ELDERS ARE EMPOWERED TO MAKE CHOICES ABOUT HOW THEY SPEND THEIR TIME AND TO CONTINUE THE MEANINGFUL ACTIVITIES AND LIFESTYLE THEY ENJOYED BEFORE COMING TO US, AS MUCH AS PHYSICALLY POSSIBLE. ST. JOHN'S HOME IS THE ONLY REGISTERED EDEN ALTERNATIVE SKILLED NURSING COMMUNITY IN GREATER ROCHESTER. WE BELIEVE ELDERS CAN EXPERIENCE A HEALTHIER, BETTER QUALITY OF LIFE IN THIS TYPE OF SETTING AND WE ENCOURAGE THEM TO EMBRACE ELDERHOOD AS A TIME IN LIFE TO BOTH GIVE AND RECEIVE. 34424181 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 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 1 1 0 0 1 27 0 1 1045 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ROBERT EARL 5857601473 150 HIGHLAND AVENUE ROCHESTER NY 14620 CHARLES K RUNYON PRESIDENT/CEO/ADMINISTRATO 18.00 22.00 X X 317286 0 9511 DR GHINWA DUMYATI BOARD MEMBER 1.00 X 0 0 0 RAY PETTINE BOARD MEMBER 1.00 X 0 0 0 WILLIAM WALLACE CHAIR 1.00 X X 0 0 0 BRIDGET SHUMWAY CHAIR ELECT 1.00 X X 0 0 0 HELEN HALEWSKI SECRETARY/TREASURER 1.00 X X 0 0 0 ROBERT BOEHNER BOARD MEMBER 1.00 X 0 0 0 WILLIAM HOLLENBECK VP OF SHARED SERVICES 4.00 36.00 X 108082 0 0 NATHANIEL SWEENEY VP OF SKILLED SERVICES 17.00 23.00 X 157503 0 9511 DEAN MOORE VP OF WORK LIFE 31.00 9.00 X 100501 0 313 JENNIFER LESINSKI VP OF MARKETING 17.00 23.00 X 91474 0 15646 ROBERT EARL VP/CFO 18.00 22.00 X 208126 0 15646 ELOISE SCHRAG ATTENDING PHYSICIAN 37.50 X 131875 0 3409 ADRIENNNE DYKEMAN PHYSICIAN ASSISTANT 40.00 X 125115 0 15646 HEATHER SOBEL ATTENDING PHYSICIAN 32.00 X 193018 0 0 RENA PINE PRACTICE PARTNER/MEDICAL D 38.00 2.00 X 254555 0 9511 DIANE HECHT NURSE PRACTITIONER 40.00 X 129334 0 0 1816869 0 79193 10 0 1 0 AFFINITY REHABILITATION 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 1144789 UNDERBERG & KESSLER 300 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL SERVICES 137389 GENESEE ENVIRONMENTAL 24 INDUSTRIAL PARK CIRCLE ROCHESTER NY 14624 ENGINEERING AND ABATEMENT SERVICES 111405 3 2134374 6273215 8407589 RESIDENT SERVICE REVENUE 623000 34605455 34605455 338523 338523 34943978 79702 0 79702 79702 79702 CAFETERIA SALES 722514 15214 15214 15214 43446483 34943978 0 94916 20862564 18562073 2300491 447478 398135 49343 1790651 1593198 197453 2116793 1883376 233417 73004 73004 92985 92985 3652752 3058227 594525 125981 125981 10409 6079 4330 1034843 908437 126406 1765261 1549634 215627 429592 377117 52475 SUPPLIES AND MATERIALS 2721185 2675868 45317 NEW YORK ASSESSMENT 1905814 1897816 7998 OTHER DIRECT EXPENSES 700102 435601 264501 UTILITIES 696211 611169 85042 467451 467451 38893076 34424181 4468895 0 656239 24619 2753885 2150292 307011 275927 249095 234152 85061219 65625265 18683593 19435954 6212320 6181248 1304085 396962 30166228 28699154 9195729 9826469 569701 546368 219481 206027 23744787 16686551 1233854 1858129 34963552 29123544 X -4797324 -424390 -4797324 -424390 30166228 28699154 X 4553407 -180473 X X 0 1 X 1 1 1 X 1087733 3012837 3572533 3282713 8407589 19363405 46752388 45548726 45876780 38609193 34959192 211746279 47840121 48561563 49449313 41891906 43366781 231109684 0 0 0 231109684 34132 36472 37573 24232 79702 212111 34132 36472 37573 24232 79702 212111 47874253 48598035 49486886 41916138 43446483 231321795 0.99910 0.99620 0.00090 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 570085 570085 54267281 42352607 11914674 28371791 21541356 6830435 1852062 1731302 120760 19435954 MONEY MARKET 6181248 F 6181248 ASSET RETIREMENT OBLIGATION 566010 DUE TO RELATED PARTIES 67866 DUE TO THIRD PARTY PAYERS 1224253 1858129 43446483 0 43446483 0 43446483 39073549 180473 180473 38893076 0 38893076 PART IV, LINE 2B: RESIDENT DEPOSITS HELD IN TRUST WHILE LIVING AT NURSING HOME. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MINIMUM PENSION LIABILITY 106,473. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 74,000. X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON PRESIDENT/CEO/ADMINISTRATO 317286 0 0 0 0 0 0 0 9511 0 326797 0 0 0 RENA PINE PRACTICE PARTNER/MEDICAL D 254555 0 0 0 0 0 0 0 9511 0 264066 0 0 0 ROBERT EARL VP/CFO 208126 0 0 0 0 0 0 0 15646 0 223772 0 0 0 HEATHER SOBEL ATTENDING PHYSICIAN 193018 0 0 0 0 0 0 0 0 0 193018 0 0 0 NATHANIEL SWEENEY VP OF SKILLED SERVICES 157503 0 0 0 0 0 0 0 9511 0 167014 0 0 0 PART I, LINE 3 THIS PROCESS IS COMPLETED BY THE HUMAN RESOURCES DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE 990'S ARE MADE AVAILABLE FOR THE GOVERNING BODY TO REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATION INSISTS ON ARMS LENGTH TRANSACTIONS IN ALL DEALINGS WITH OUTSIDE COMPANIES. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION ANNUALLY REVIEWS THE COMPARABLE COMPENSATION FOR ALL KEY EMPLOYEES AND ADJUSTS WHERE NEEDED. THE APPROVAL OF THE BOARD IS PART OF THE YEARLY BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 18 THE PUBLIC IS WELCOME TO REQUEST THE FORM 990 AND THE CORPORATION WILL RESPOND IN A TIMELY MANNER TO MAKE SURE THAT ALL REASONABLE REQUESTS ARE MET. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC IS WELCOME TO REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, AND THE CORPORATION WILL RESPOND IN A TIMELY MANNER TO MAKE SURE THAT ALL REASONABLE REQUESTS ARE MET. ALSO, THE CORPORATION'S FINANCIAL STATEMENTS ARE IN THE RHCF-4 COST REPORT THAT IS FILED ANNUALLY. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -106,473. CHANGE IN BENEFICIAL INTEREST IN ASSETS OF FOUNDATION -74,000. FORM 990, PART XII, LINE 2(C): NO CHANGE FROM PRIOR YEAR. ST JOHN'S HOME FOR THE AGING INC 150 HIGHLAND AVE ROCHESTER NY 14620 160743158 RESIDENTIAL RETIREMENT COMMUNITY WITH ASSISTED AND NON-ASSISTED NY 501(C)(3) LINE 10 ST JOHN'S SENIOR SERVICES INC 0 ST JOHN'S SENIOR SERVICES INC 150 HIGHLAND AVE ROCHESTER NY 14620 161547180 THE CORPORATION HOLDS AN INVESTMENT IN A COMPANY THAT OPERATES AS A BUYING G NY 501(C)(3) LINE 12B, II 0 SJH COMMUNITY SERVICES INC 150 HIGHLAND AVE ROCHESTER NY 14620 161547182 RESIDENTIAL RETIREMENT COMMUNITY NY 501(C)(3) LINE 10 ST JOHN'S SENIOR SERVICES INC 0 ST JOHN'S PENFIELD HOMES CORP 150 HIGHLAND AVE ROCHESTER NY 14620 452195368 RESIDENTIAL SKILLED GREEN HOUSE FACILITY NY 501(C)(3) LINE 10 ST JOHN'S HEALTH CARE CORPORATION 1 ST JOHN'S HOME FOUNDATION 150 HIGHLAND AVE ROCHESTER NY 14620 161423452 OPERATES TO SOLICIT, RECEIVE AND MAINTAIN FUNDS FOR RELATED PARTIES NY 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL O 2216674 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - SUPPORT SERVICES Q 76096 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - GRANT C 100395 ACTUAL AMOUNT RECEIVED