2018-09-25T12:46:53-05:00 2017-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2017-01-01 161469476 ST JOHN'S HEALTH CARE CORPORATION STJO 5857601473 150 HIGHLAND AVE ROCHESTER NY 14620 ROBERT EARL VP FINANCE 5857601473 2018-09-24 1 WILLIAM MCDONALD P01600766 5853811000 4.14.157.194 2018-09-24 08:56:05 ED P 23025919B01E351967CFBA1C5A22CB7E3130E6CC 2A22BA26F373D360A03047A3E7179D329D22E12C 2017 2018-06-14 16:35:46Z ROBERT EARL 150 HIGHLAND AVE ROCHESTER NY 14620 47874253 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. 5 5 1281 150 0 0 2747127 1087733 48154211 46596598 1 0 943257 189922 51844596 47874253 0 0 0 0 32505178 31755382 0 0 0 15931749 15679806 48436927 47435188 3407669 439065 33021086 31759832 44462700 37298734 -11441614 -5538902 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 40860671 46654982 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. 40860671 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 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 47 0 1 1281 1 0 0 0 0 0 0 0 0 X 5 5 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 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 MICHELLE WESTRICH THROUGH JUNE 2017 BOARD MEMBER 1.00 X 0 0 0 ANNA LYNCH THROUGH JUNE 2017 BOARD MEMBER 1.00 X 0 0 0 WILLIAM WALLACE CHAIR 1.00 X X 0 0 0 SUSAN POOLE BOARD MEMBER 1.00 X 0 0 0 CHARLES K RUNYON PRESIDENT/CEO 23.00 17.00 X 308238 0 36267 REBECCA PRIEST ADMINISTRATOR 20.00 20.00 X 130721 0 21268 ROBERT EARL VP/CFO 24.00 16.00 X 142466 0 21267 DIANE WILEY VP OF WORKLIFE 33.00 7.00 X 121985 0 6905 JENNIFER LESINSKI VP OF MARKETING 20.00 20.00 X 85785 0 0 JOANNE BRAUENLE VP OF CORPORATE STRATEGY 24.00 16.00 X 127068 0 2004 HEATHER SOBEL ATTENDING PHYSICIAN 40.00 X 164027 0 0 AMY MASON PHYSICIAN 24.00 X 124796 0 0 RENA PINE PRACTICE PARTNER/MEDICAL DIRECTOR 36.00 4.00 X 227363 0 14468 ADRIENNE DYKEMAN ATTENDING PHYSICIAN 40.00 X 103905 0 21077 ELOISE SCHRAG ATTENDING PHYSICIAN 37.50 X 181643 0 14162 1717997 0 137418 10 0 1 0 AFFINITY REHABILITATION LLP 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 1763045 NURSECORE PO BOX 650823 DALLAS TX 752650753 NURSING STAFFING SERVICE 203756 UNDERBERG & KESSLER 300 BAUSCH LOMB PLACE ROCHESTER NY 14604 LEGAL SERVICES 131594 3 5782 908271 173680 1087733 RESIDENT SERVICE REVENUE 623110 45283921 45283921 1312677 1312677 46596598 34132 0 34132 34132 34132 CAFETERIA SALES 722210 97406 97406 PANDION SOURCING NATIONAL 623000 58384 58384 155790 47874253 46654982 0 131538 1003974 864823 139151 25056695 21583837 3472858 249739 215125 34614 3105559 2675129 430430 2339415 2015172 324243 188235 188235 59337 59337 162138 139666 22472 2674850 2304116 370734 142928 123118 19810 1396322 1396322 1511382 1511382 566445 566445 OUTSIDE EXPENSES 3073273 1687276 1385997 NEW YORK ASSESSMENT 2676165 2676165 BAD DEBT EXPENSE 1075754 1075754 OTHER EXPENSES 913682 787046 126636 1239295 1239295 47435188 40860671 6574517 0 7521065 6849597 168931 184978 743146 390583 73902818 59161851 15045118 14740967 8965754 8619666 577072 974041 33021086 31759832 19704890 12068431 811736 801728 190881 90283 23107114 23397850 648079 940442 44462700 37298734 X -11441614 -5538902 -11441614 -5538902 33021086 31759832 X 439065 5463647 X X 0 1 X 1 1 1 X 73672 51514 701850 2747127 1087733 4661896 46037402 47701808 47881477 48323722 46752388 236696797 46111074 47753322 48583327 51070849 47840121 241358693 0 0 0 241358693 4858 4294 69375 45029 34132 157688 4858 4294 69375 45029 34132 157688 73166 86100 4122 163388 724596 724596 46189098 47843716 48652702 51844596 47874253 242404365 0.99570 0.99550 0.00070 0.00050 X 0 1 570085 570085 48929837 40060804 8869033 22710494 17460588 5249906 1692402 1640459 51943 14740967 698618 F MONEY MARKET 7921048 F 8619666 ASSET RETIREMENT OBLIGATION 559079 BANK OVERDRAFT 103470 DUE TO THIRD PARTY PAYERS 277893 940442 X 53349051 5474798 5474798 47874253 0 47874253 47446339 11151 11151 47435188 0 47435188 PART X, LINE 2: THE HOME IS A NOT-FOR-PROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAXES AS AN ORGANIZATION QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HOME'S TAX-EXEMPT PURPOSES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE HOME HAS ALSO BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MINIMUM PENSION LIABILITY 4,804,684. INVESTMENT INCOME - EQUITY METHOD 217,264. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 452,850. PART XII, LINE 2D - OTHER ADJUSTMENTS: MISCELLANEOUS EXPENSE 11,151. X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON PRESIDENT/CEO 308238 0 0 0 0 0 15000 0 21267 0 344505 0 0 0 REBECCA PRIEST ADMINISTRATOR 130721 0 0 0 0 0 0 0 21268 0 151989 0 0 0 ROBERT EARL VP/CFO 142466 0 0 0 0 0 0 0 21267 0 163733 0 0 0 HEATHER SOBEL ATTENDING PHYSICIAN 164027 0 0 0 0 0 0 0 0 0 164027 0 0 0 RENA PINE PRACTICE PARTNER/MEDICAL DIRECTOR 227363 0 0 0 0 0 0 0 14468 0 241831 0 0 0 ELOISE SCHRAG ATTENDING PHYSICIAN 181643 0 0 0 0 0 0 0 14162 0 195805 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 4,804,684. INVESTMENT INCOME - EQUITY METHOD 217,264. CHANGE IN BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 452,850. MISCELLANEOUS EXPENSE -11,151. 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 4563821 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES Q 100271 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID Q 152670 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 908273 AMOUNT RECEIVED ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL O 1603505 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - SUPPORT SERVICES Q 102943 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - SUPPORT SERVICES Q 132586 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - REIMBURSE FOR PAYROLL O 1244292 ACTUAL AMOUNT INCURRED