2020-11-12T08:18:53-06:00 2019-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2019-01-01 161469476 ST JOHN'S HEALTH CARE CORPORATION STJO 5857601473 150 HIGHLAND AVE ROCHESTER NY 14620 ROBERT EARL VP FINANCE 5857601473 2020-11-10 1 WILLIAM MCDONALD P01600766 5853811000 4.14.157.197 2020-11-10 12:17:53 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9999CB22D72B135C275F75EBA1A1D32158AF1CEB 2019 2021-01-29 14:40:06Z ROBERT EARL 150 HIGHLAND AVE ROCHESTER NY 14620 49486886 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. 7 7 1378 143 0 0 3012837 3572533 45417518 45779386 1440 0 166240 134967 48598035 49486886 0 0 0 0 31016433 31187793 0 0 0 16312705 14783743 47329138 45971536 1268897 3515350 30456270 31888371 35872792 34291117 -5416522 -2402746 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 40925771 45779386 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. 40925771 1 1 0 0 0 0 0 0 0 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 0 0 0 1 56 0 1 1378 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 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 306754 0 15176 ROBERT BOEHNER BOARD MEMBER 1.00 X 0 0 0 HELEN HALEWSKI SECRETARY/TREASURER 1.00 X X 0 0 0 BRIDGET SHUMWAY CHAIR ELECT 1.00 X X 0 0 0 WILLIAM WALLACE CHAIR 1.00 X X 0 0 0 SUSAN POOLE BOARD MEMBER 1.00 X 0 0 0 RAY PETTINE BOARD MEMBER 1.00 X 0 0 0 ROBERT EARL VP/CFO 18.00 22.00 X 201416 0 15176 JENNIFER LESINSKI VP OF MARKETING 20.00 20.00 X 91298 0 15176 JOANNE BRAUENLE VP OF CORPORATE STRATEGY 24.00 16.00 X 121036 0 15176 NATHIEL SWEENEY VP OF SKILLED SERVICES 20.00 20.00 X 158416 0 4684 WILLIAM HOLLENBECK VP OF SHARED SERVICES 24.00 16.00 X 105436 0 0 HEATHER SOBEL ATTENDING PHYSICIAN 30.00 X 171886 0 0 RENA PINE PRACTICE PARTNER/MEDICAL D 36.00 4.00 X 219613 0 8924 ELOISE SCHRAG ATTENDING PHYSICIAN 37.50 X 179077 0 8864 1554932 0 83176 8 0 1 0 AFFINITY REHABILITATION 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 1429406 UNDERBERG & KESSLER 300 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL SERVICES 148887 2 2200204 1372329 3572533 RESIDENT SERVICE REVENUE 623000 45513013 45513013 266373 266373 45779386 37573 0 37573 37573 37573 CAFETERIA SALES 722210 97394 97394 97394 49486886 45779386 0 134967 25740643 23492156 2248487 411163 375247 35916 2626452 2397027 229425 2409535 2199058 210477 164722 164722 70391 70391 3300681 2312102 988579 93940 93940 87553 44711 42842 1267367 1119007 148360 1573155 1388999 184156 562765 496886 65879 SUPPLIES AND MATERIALS 3124660 3075588 49072 NEW YORK ASSESSMENT 2552487 2545730 6757 UTILITIES 881977 778732 103245 OTHER DIRECT EXPENSES 730808 327291 403517 373237 373237 45971536 40925771 5045765 0 535828 800413 5264951 4860942 189356 253975 174422 193504 79691988 62198893 14870193 17493095 9045148 8020358 376372 266084 30456270 31888371 12474165 12586443 707744 593033 127476 143349 21576137 20286840 987270 681452 35872792 34291117 X -5416522 -2402746 -5416522 -2402746 30456270 31888371 X 3515350 -501574 X X 0 1 X 1 1 1 X 701850 2747127 1087733 3012837 3572533 11122080 47881477 48323722 46752388 45548726 45876780 234383093 48583327 51070849 47840121 48561563 49449313 245505173 0 0 0 245505173 69375 45029 34132 36472 37573 222581 69375 45029 34132 36472 37573 222581 4122 4122 724596 724596 48652702 51844596 47874253 48598035 49486886 246456472 0.99610 0.99590 0.00090 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 570085 570085 51819500 41071837 10747663 25450341 19439107 6011234 1852062 1687949 164113 17493095 MONEY MARKET 8020358 F 8020358 ASSET RETIREMENT OBLIGATION 506010 DUE TO RELATED PARTIES 106980 DUE TO THIRD PARTY PAYERS 68462 681452 50514504 1027618 1027618 49486886 0 49486886 47500728 1529192 1529192 45971536 0 45971536 PART IV, LINE 2B: RESIDENT DEPOSITS HELD IN TRUST WHILE LIVING AT NURSING HOME. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MINIMUM PENSION LIABILITY 1,027,618. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON SETTLEMENT OF PENSION 1,301,959. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 36,714. INVESTMENT INCOME - EQUITY METHOD 190,519. X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON PRESIDENT/CEO/ADMINISTRATO 306754 0 0 0 0 0 0 0 15176 0 321930 0 0 0 ROBERT EARL VP/CFO 201416 0 0 0 0 0 0 0 15176 0 216592 0 0 0 NATHIEL SWEENEY VP OF SKILLED SERVICES 158416 0 0 0 0 0 0 0 4684 0 163100 0 0 0 HEATHER SOBEL ATTENDING PHYSICIAN 171886 0 0 0 0 0 0 0 0 0 171886 0 0 0 RENA PINE PRACTICE PARTNER/MEDICAL D 219613 0 0 0 0 0 0 0 8924 0 228537 0 0 0 ELOISE SCHRAG ATTENDING PHYSICIAN 179077 0 0 0 0 0 0 0 8864 0 187941 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 1,027,618. INVESTMENT INCOME - EQUITY METHOD -190,519. CHANGE IN BENEFICIAL INTEREST IN ASSETS OF FOUNDATION -36,714. LOSS ON PENSION SETTLEMENT -1,301,959. 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 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 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 0 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 0 0 1 0 1 0 0 ST JOHN'S HOME FOR THE AGING - REIMBURSE FOR PAYROLL O 4788412 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES Q 348051 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID Q 266373 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 2750000 AMOUNT RECEIVED ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL O 1834511 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - SUPPORT SERVICES Q 106506 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - SUPPORT SERVICES Q 154287 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - REIMBURSE FOR PAYROLL O 1652442 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - GRANTS C 195285 AMOUNT RECEIVED ST JOHN'S PENFIELD - GRANTS C 969559 AMOUNT RECEIVED