ST JOHNLAND NURSING CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNLAND NURSING CENTER INC (EIN 11-3109867)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202133139349304068
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T14:02:41-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113109867 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHNLAND NURSING CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 6312695800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 395 SUNKEN MEADOW ROAD | AddressLine1Txt |
| City | KINGS PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11754 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY JEAN WEBER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6312695800 | PhoneNum |
| Signature | 2021-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | JEAN WEBER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHELLE MUNDY | PreparerPersonNm |
| PTIN | P01982856 | PTIN |
| Phone | 3154227109 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY JEAN WEBER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 395 SUNKEN MEADOW ROAD | AddressLine1Txt |
| City | KINGS PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11754 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,644,909 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STJOHNLAND.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THE HIGHEST STANDARD OF QUALITY HEALTHCARE. THE ORGANIZATION SEEKS TO UPHOLD THE PRINCIPALS OF HUMAN DIGNITY AND WORTH, AND AFFIRM THE RIGHT OF EVERY INDIVIDUAL TO MAINTAIN OPTIMUM QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 392 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $204,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,933,107 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $33,322,789 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,250,006 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $753,548 | PYOtherRevenueAmt |
| CY Other Revenue | $461,796 | CYOtherRevenueAmt |
| PY Total Revenue | $34,280,337 | PYTotalRevenueAmt |
| CY Total Revenue | $35,644,909 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,222,225 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,310,076 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,953,349 | PYOtherExpensesAmt |
| CY Other Expenses | $10,812,980 | CYOtherExpensesAmt |
| PY Total Expenses | $36,175,574 | PYTotalExpensesAmt |
| CY Total Expenses | $35,123,056 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,895,237 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $521,853 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,504,830 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,659,990 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,569,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,110,621 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,064,992 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,450,631 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THEHIGHEST STANDARDS OF QUALITY HEALTHCARE. IT SEEKS TO UPHOLD THEPRINCIPLES OF HUMAN DIGNITY AND WORTH, AND AFFIRMS THE RIGHT OFEVERY INDIVIDUAL TO MAINTAIN THE OPTIMUM QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,642,417 | ExpenseAmt |
| Revenue | $29,872,680 | RevenueAmt |
| Desc | INPATIENT PROGRAM WITH 230 RESIDENT CARE BEDS | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,015,817 | ExpenseAmt |
| Revenue | $377,326 | RevenueAmt |
| Desc | ADULT DAY CARE PROGRAM FOR 100 REGISTRANTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $461,796 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $461,796 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,658,234 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 392 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY JEAN WEBER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6312695800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 395 SUNKEN MEADOW ROAD | AddressLine1Txt |
| City | KINGS PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11754 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID H DEMING | ||||||||
| PRESIDENT | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARL H DOERGE JR | ||||||||
| VICE PRESIDENT | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARON A FUENTES | ||||||||
| VICE PRESIDENT | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PETER L FETTEROLF | ||||||||
| SECRETARY | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL A AGNES | ||||||||
| TREASURER | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM D KEEN | ||||||||
| ASSISTANT TREASURER | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FREDRIC R LAMARCA | ||||||||
| BOARD MEMBER | 0.50 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARY ALICE KOLODNER | ||||||||
| BOARD MEMBER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN E SWIGGETT | ||||||||
| BOARD MEMBER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER L SPEHR | ||||||||
| BOARD MEMBER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ARLENE Q VERMYLEN | ||||||||
| BOARD MEMBER | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY JEAN WEBER | ||||||||
| CEO | 34.50 | 3.00 | Yes (X) | $381,022 | $0 | $49,299 | ||
| JOSEPH SANTANGELO | ||||||||
| DIRECTOR OF FINANCE | 33.50 | 4.00 | Yes (X) | $172,275 | $0 | $42,400 | ||
| DR MAUREEN ORSEN | ||||||||
| MEDICAL DIRECTOR | 37.50 | 0.00 | $218,274 | $0 | $44,211 | Yes (X) | ||
| MICHELE RANDAZZO | ||||||||
| DIRECTOR OF NURSING | 37.50 | 0.00 | $165,834 | $0 | $42,638 | Yes (X) | ||
| DEANNA BAEZ | ||||||||
| ASSISTANT ADMINISTRATOR | 35.00 | 2.50 | $164,667 | $0 | $20,319 | Yes (X) | ||
| MARJORIE MOMBELEUR | ||||||||
| STAFF DOCTOR | 37.50 | 0.00 | $139,103 | $0 | $41,088 | Yes (X) | ||
| DR ALEX CZIRA | ||||||||
| STAFF DOCTOR | 37.50 | 0.00 | $140,294 | $0 | $41,052 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,381,469 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $281,007 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHPRO MANAGEMENT SERVICES | |||||
| PO BOX 69268 | BALTIMORE | MD | 21264 | THERAPY MANAGEMENT AND CONSULTING SERVIC | $1,134,301 |
| LANGUAGE FUNDAMENTALS | |||||
| 1032 MAIN STREET | FISHKILL | NY | 12524 | SPEECH THERAPY SERVICES | $674,786 |
| CARE & COMFORT | |||||
| 1546 OCEAN AVENUE SUITE 5 | BOHEMIA | NY | 11716 | AMBULETTE SERVICES | $331,650 |
| PUTNEY TWOMBLY HALL & HIRSON | |||||
| 521 FIFTH AVENUE | NEW YORK | NY | 10175 | LEGAL SERVICES | $166,400 |
| ABRAMS FENSTERMAN | |||||
| 3 DAKOTA DRIVE SUITE 300 | LAKE SUCCESS | NY | 11042 | LEGAL SERVICES | $105,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $200,017 | RelatedOrganizationsAmt |
| Government Grants | $4,733,090 | GovernmentGrantsAmt |
| Total Contributions | $4,933,107 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING FACILITY | 623000 | $29,872,680 | $29,872,680 |
| ADULT DAY CARE | 623000 | $377,326 | $377,326 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,250,006 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 900099 | $369,753 | $369,753 |
| CAFE INCOME | 900099 | $92,043 | $92,043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $461,796 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,644,909 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,711,802 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,139 | TotalAmt |
| Management And General | $596,139 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,012,231 | TotalAmt |
| Program Services | $11,491,337 | ProgramServicesAmt |
| Management And General | $5,520,894 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,871,586 | TotalAmt |
| Program Services | $1,396,836 | ProgramServicesAmt |
| Management And General | $474,750 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,615,711 | TotalAmt |
| Program Services | $2,730,378 | ProgramServicesAmt |
| Management And General | $885,333 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,214,409 | TotalAmt |
| Program Services | $898,392 | ProgramServicesAmt |
| Management And General | $316,017 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,665 | TotalAmt |
| Management And General | $179,665 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,801 | TotalAmt |
| Management And General | $50,801 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,165 | TotalAmt |
| Program Services | $269,712 | ProgramServicesAmt |
| Management And General | $23,453 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,710 | TotalAmt |
| Program Services | $727,454 | ProgramServicesAmt |
| Management And General | $63,256 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,210 | TotalAmt |
| Program Services | $110,593 | ProgramServicesAmt |
| Management And General | $9,617 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,583 | TotalAmt |
| Program Services | $243,416 | ProgramServicesAmt |
| Management And General | $21,167 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,722 | TotalAmt |
| Program Services | $708,145 | ProgramServicesAmt |
| Management And General | $61,577 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,186 | TotalAmt |
| Program Services | $366,332 | ProgramServicesAmt |
| Management And General | $31,854 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES AND OTHER | $3,430,897 | $675,375 | $2,755,522 |
| PROFESSIONAL SERVICES | $2,688,827 | $2,477,969 | $210,858 |
| NEW YORK STATE CASH REC | $1,466,214 | $1,202,295 | $263,919 |
| BAD DEBT EXPENSE | $360,000 | $360,000 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,123,056 | TotalAmt |
| Program Services | $23,658,234 | ProgramServicesAmt |
| Management And General | $11,464,822 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,688 | BOYAmt |
| EOY | $1,724,790 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,572,791 | BOYAmt |
| EOY | $6,558,169 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $433,029 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,202 | BOYAmt |
| EOY | $398,601 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,131 | BOYAmt |
| EOY | $463,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,538,702 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,151,151 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,972,386 | BOYAmt |
| EOY | $7,387,551 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,471,603 | BOYAmt |
| EOY | $3,127,253 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,504,830 | BOYAmt |
| EOY | $19,659,990 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,717,202 | BOYAmt |
| EOY | $15,441,045 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,577 | BOYAmt |
| EOY | $139,689 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $696,732 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,655 | BOYAmt |
| EOY | $82,404 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,601,656 | BOYAmt |
| EOY | $7,447,483 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,569,822 | BOYAmt |
| EOY | $23,110,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,107,492 | BOYAmt |
| EOY | -$3,493,131 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,500 | BOYAmt |
| EOY | $42,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,064,992 | BOYAmt |
| EOY | -$3,450,631 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,504,830 | BOYAmt |
| EOY | $19,659,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $521,853 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $92,508 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $200,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $350,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $204,200 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $200,017 | CurrentTaxYearAmt |
| Total | $1,158,217 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,523,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,323,618 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,584,068 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,322,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,250,006 | CurrentTaxYearAmt |
| Total | $167,003,678 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,723,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,673,618 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,788,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,526,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,450,023 | CurrentTaxYearAmt |
| Total | $168,161,895 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $168,161,895 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,773 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,989 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $8,327 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,773 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,989 | CurrentTaxYearMinus2YearsAmt |
| Total | $8,327 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $298,680 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $407,818 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $590,251 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $753,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $461,796 | CurrentTaxYearAmt |
| Total | $2,512,093 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,024,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,084,209 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,381,508 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,280,337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,911,819 | CurrentTaxYearAmt |
| Total | $170,682,315 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98520 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98610 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III - OTHER INCOME | FormAndLineReferenceDesc |
| Explanation | CAFE INCOME - $92,043 OTHER INCOME - $369,753 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,500 | BeginningYearBalanceAmt |
| End Year Balance | $42,500 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,500 | BeginningYearBalanceAmt |
| End Year Balance | $42,500 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,500 | BeginningYearBalanceAmt |
| End Year Balance | $42,500 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,500 | BeginningYearBalanceAmt |
| End Year Balance | $42,500 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $42,500 | BeginningYearBalanceAmt |
| End Year Balance | $42,500 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,271,604 | OtherCostOrOtherBasisAmt |
| Book Value | $2,271,604 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,515,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,117,673 | DepreciationAmt |
| Book Value | $2,397,791 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,751,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,033,478 | DepreciationAmt |
| Book Value | $2,718,156 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,387,551 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESIDENT FUNDS | $139,689 |
| ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS | $364,202 |
| DUE FROM RELATED PARTIES | $2,623,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,127,253 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSITS | $39,409 |
| RELATED PARTY NOTE PAYABLE | $806,356 |
| DUE FROM ASSISTED LIVING PROJECT | $2,401,939 |
| AMOUNTS DUE TO THIRD PARTY PAYORS | $2,729,462 |
| MEDICARE ADVANCE PAYMENT | $1,470,317 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,447,483 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $35,644,909 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,644,909 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,644,909 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $35,123,056 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,123,056 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,123,056 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENT FUNDS AND SECURITY DEPOSITS ARE HELD IN TRUST. RESIDENT FUNDS AND SECURITY DEPOSITS ARE MAINTAINED IN BANK ACCOUNTS THAT ARE SEPARATE FROM THE CENTER'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS AND SECURITY DEPOSITS ARE CREDITED TO THEIR ACCOUNTS. |
| PART V, LINE 4 | THE CENTER HAS ONE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUND ESTABLISHED FOR SUPPORT OF THE ELDERLY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY JEAN WEBER | ||||||||||||||
| CEO | $381,022 | $0 | $0 | $0 | $0 | $0 | $11,431 | $0 | $37,868 | $0 | $430,321 | $0 | $0 | $0 |
| DR MAUREEN ORSEN | ||||||||||||||
| MEDICAL DIRECTOR | $218,274 | $0 | $0 | $0 | $0 | $0 | $6,548 | $0 | $37,663 | $0 | $262,485 | $0 | $0 | $0 |
| JOSEPH SANTANGELO | ||||||||||||||
| DIRECTOR OF FINANCE | $172,275 | $0 | $0 | $0 | $0 | $0 | $5,168 | $0 | $37,232 | $0 | $214,675 | $0 | $0 | $0 |
| MICHELE RANDAZZO | ||||||||||||||
| DIRECTOR OF NURSING | $165,834 | $0 | $0 | $0 | $0 | $0 | $4,975 | $0 | $37,663 | $0 | $208,472 | $0 | $0 | $0 |
| DEANNA BAEZ | ||||||||||||||
| ASSISTANT ADMINISTRATOR | $164,667 | $0 | $0 | $0 | $0 | $0 | $4,940 | $0 | $15,379 | $0 | $184,986 | $0 | $0 | $0 |
| DR ALEX CZIRA | ||||||||||||||
| STAFF DOCTOR | $140,294 | $0 | $0 | $0 | $0 | $0 | $4,173 | $0 | $36,879 | $0 | $181,346 | $0 | $0 | $0 |
| MARJORIE MOMBELEUR | ||||||||||||||
| STAFF DOCTOR | $139,103 | $0 | $0 | $0 | $0 | $0 | $4,209 | $0 | $36,879 | $0 | $180,191 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS LAST PERFORMED IN DECEMBER 2020. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD ELECT THE DIRECTORS OF EACH PROGRAM EACH SPRING AT THE ANNUAL MEETING OF EACH CORPORATION. IF A VACANCY OCCURS ON THE BOARD IN THE INTERIM, THE REMAINING DIRECTORS MAY ELECT A SUCCESSOR TO SERVE UNTIL THE NEXT ANNUAL MEETING OF MEMBERS. AT THE NEXT ANNUAL MEETING, THE MEMBERS ELECT DIRECTORS FOR SPECIFIC TERMS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS HAVE THE RIGHTS AND DUTIES PROVIDED BY STATUTE UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW WHICH ARE NOT UNLIKE THOSE OF STOCKHOLDERS IN A TRADITIONAL FOR PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING WITH THE IRS, COPIES HAVE BEEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. QUESTIONS AND COMMENTS HAVE BEEN FOWARDED TO THE CEO, WHO HAS DISCUSSED WITH THE PREPARER ANY CHANGES THAT MAY NEED TO BE ADDRESSED. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF ST. JOHNLAND NURSING CENTER, INC. THAT ALL DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS AVOID ANY ACTIVITIES THAT CONFLICT WITH OR APPEAR TO CONFLICT WITH THEIR RESPONSIBILITIES AND OBLIGATIONS TO ST. JOHNLAND. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED TO BE SIGNED BY BOARD MEMBERS. WHEN A CONFLICT ARISES, IT IS BROUGHT TO THE BOARD' S ATTENTION TO BE DISCUSSED. THE BOARD MEMBER WHO HAS THIS CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION RELATED TO THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS PERFORMED IN DECEMBER 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT TO FUNDED STATUS - EMPLOYEE BENEFIT PLAN 92,508. |
| FORM 990. PART XII, LINE 2C. | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SOCIETY OF ST JOHNLAND | ||||||||||
| 395 SUNKEN MEADOW RD | KINGS PARK | NY | 11758 | 111890580 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | N/A | 0 |
| ST JOHNLAND RESIDENCES II INC | ||||||||||
| 395 SUNKEN MEADOW RD | KINGS PARK | NY | 11758 | 200316499 | ADULT RESIDENCE | NY | 501(C)(3) | LINE 12B, II | N/A | 0 |
| ST JOHNLAND ASSISTED LIVING INC | ||||||||||
| 395 SUNKEN MEADOW RD | KINGS PARK | NY | 11758 | 843711158 | ASSISTED LIVING | NY | 501(C)(3) | LINE 10 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| SOCIETY OF ST JOHNLAND | |
| C | $200,000 |
| SOCIETY OF ST JOHNLAND | |
| E | $806,356 |
| SOCIETY OF ST JOHNLAND | |
| O | $788,490 |
| SOCIETY OF ST JOHNLAND | |
| Q | $48,987 |
| SOCIETY OF ST JOHNLAND FOR ASSISTED LIVING PROJECT | |
| E | $1,350,000 |
| SOCIETY OF ST JOHNLAND | |
| E | $1,051,939 |
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