2015-11-16T17:07:56-06:00 2014-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2014-01-01 113109867 ST JOHNLAND NURSING CENTER INC STJO 6312695800 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 MARY JEAN WEBER CEO 6312695800 2015-11-13 1 AARON SHAPIRO P01333816 2128674000 2014 2016-02-25 16:41:14Z MARY JEAN WEBER 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 34782817 0 X WWW.STJOHNLAND.ORG X 1991 NY TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THE HIGHEST STANDARDS OF QUALITY HEALTHCARE. IT SEEKS TO UPHOLD THE PRINCIPLES OF HUMAN DIGNITY AND WORTH, AND AFFIRMS THE RIGHT OF EVERY INDIVIDUAL TO MAINTAIN THE OPTIMUM QUALITY OF LIFE. 17 17 498 17 0 0 533147 566439 34286331 33593781 63898 529 344003 622068 35227379 34782817 0 0 0 0 23588149 24149387 0 0 0 11566226 10520527 35154375 34669914 73004 112903 18428401 17351972 16745483 22835413 1682918 -5483441 TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THE HIGHEST STANDARDS OF QUALITY HEALTHCARE. IT SEEKS TO UPHOLD THE PRINCIPLES OF HUMAN DIGNITY AND WORTH, AND AFFIRMS THE RIGHT OF EVERY INDIVIDUAL TO MAINTAIN THE OPTIMUM QUALITY OF LIFE. 0 0 25842885 31078933 INPATIENT PROGRAM WITH 230 RESIDENT CARE BEDS. 1863604 2057144 ADULT DAY CARE PROGRAM FOR 100 REGISTRANTS. 414642 457704 LONG TERM HOME HEALTHCARE PROGRAM FOR 50 REGISTRANTS. 28121131 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 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 30 0 498 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X MICHAEL BARTOLOTTA 6312695800 395 SUNKEN MEADOW RD KINGS PARK NY 11754 TRUDY H CALABRESE PRESIDENT 0.50 1.00 X X 0 0 0 CARL H DOERGE JR VICE PRESIDENT 0.50 1.00 X X 0 0 0 SHARON FUENTES VICE PRESIDENT 0.50 1.00 X X 0 0 0 VIRGINIA P JACOBSEN VICE PRESIDENT 0.50 1.00 X X 0 0 0 PETER FETTEROLF SECRETARY 0.50 1.00 X X 0 0 0 JOAN M HEANEY ASSISTANT SECRETARY 0.50 1.00 X X 0 0 0 WILLIAM D KEEN TREASURER 0.50 1.00 X X 0 0 0 FREDRIC R LAMARCA ASSISTANT TREASURER 0.50 1.00 X X 0 0 0 ARTHUR F BRINGS BOARD MEMBER 0.50 1.00 X 0 0 0 MARIAN CONWAY BOARD MEMBER 0.50 1.00 X 0 0 0 DAVID H DEMING BOARD MEMBER 0.50 1.00 X 0 0 0 THOMAS J EKKERS MD BOARD MEMBER 0.50 1.00 X 0 0 0 MARY ALICE KOLODNER BOARD MEMBER 0.50 1.00 X 0 0 0 ALLISON MITCHELL BOARD MEMBER 0.50 1.00 X 0 0 0 HEATHER LANE SPEHR BOARD MEMBER 0.50 1.00 X 0 0 0 BRIAN SWIGGETT BOARD MEMBER 0.50 1.00 X 0 0 0 THOMAS R ZOLLER BOARD MEMBER 0.50 1.00 X 0 0 0 MARY JEAN WEBER CEO & ADMINISTRATOR 30.00 7.50 X 247087 61772 41474 MICHAEL BARTOLOTTA FISCAL DIRECTOR 30.50 7.00 X 150056 34439 37667 DR MAUREEN ORSEN MEDICAL DIRECTOR 37.50 X 251341 0 39748 DEANNA BAEZ ASSISTANT ADMINISTRATOR 35.00 2.50 X 123353 8811 16924 DR ALEX CZIRA PHYSICIAN 37.50 X 112042 0 35569 EILEEN GIORDANO CASE MANAGER 37.50 X 113499 0 35536 MICHELLE RANDAZZO DIRECTOR OF NURSING 37.50 X 138560 0 17116 JOHN DUFFY DIRECTOR OF SUPPORT SERVICES 37.50 X 101362 0 35249 1237300 105022 259283 8 0 1 0 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 1476774 SHORE PHARMACEUTICAL PO BOX 78000 DETROIT MI 48278 PHARMACEUTICAL 533263 CARE & COMFORT 1580 OCEAN AVENUE BOHEMIA NY 11716 TRANSPORTATION 512700 MEDLINE INDUSTRIES PO BOX 382075 PITTSBURGH PA 15251 MEDICAL SUPPLIES 469631 MDE CONTRACTING 474 HAWKINS AVE RONKONKOMA NY 11779 CONTRACTING 442392 23 200000 366439 566439 SKILLED NURSING FACILITY 623000 31078933 31078933 ADULT DAY CARE 623000 2057144 2057144 LONG TERM HOME HEALTH CARE 623000 457704 457704 33593781 529 529 PENSION CREDIT 900099 407548 407548 OTHER REVENUES 900099 214520 214520 622068 34782817 33593781 0 622597 752047 752047 16349549 13938387 2411162 382050 329233 52817 5408685 4504091 904594 1257056 1030786 226270 205298 205298 171593 171593 2054882 1685004 369878 4737 4737 1140173 934941 205232 1327363 1088437 238926 519641 426106 93535 24036 19710 4326 90307 74052 16255 1578704 1294537 284167 393306 322511 70795 NYS CASH RECEIPT ASSESS 1528211 1253133 275078 FOOD & KITCHEN 782358 641534 140824 PRESCRIPTION DRUGS/SUPP 562592 461325 101267 MISCELLANEOUS 132102 108285 23817 5224 4322 902 34669914 28121131 6548783 0 164709 233725 1334574 1450671 5000396 4956747 1069287 490287 81508 109283 592113 588725 37662481 28617427 9441962 9045054 0 743852 477480 18428401 17351972 4424243 5278670 131052 142114 5545040 4847355 2691968 1538076 3953180 11029198 16745483 22835413 X 1640418 -5525941 42500 42500 1682918 -5483441 18428401 17351972 X 112903 -7279262 X X 0 1 X 1 1 1 X 200000 200000 200000 533147 566439 1699586 34650391 37092815 35438542 34286331 33593781 175061860 34850391 37292815 35638542 34819478 34160220 176761446 0 0 0 176761446 3894 6805 95360 63898 529 170486 3894 6805 95360 63898 529 170486 305058 56866 461318 344003 622068 1789313 35159343 37356486 36195220 35227379 34782817 178721245 0.98900 0.99160 0.00100 0.00150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUES AMNESTY PROGRAM INCOME PENSION REFUND OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 42500 42500 42500 42500 42500 42500 42500 42500 42500 42500 1.00000 0 0 452043 452043 19532772 14831447 4701325 16083766 12329979 3753787 1593900 1456001 137899 9045054 LINE OF CREDIT 1000000 SECURITY DEPOSITS 164751 ACCRUED PENSION 9754337 CAPITAL LEASE PAYABLE 86926 DUE TO THE SOCIETY OF ST. JOHNLAND 23184 11029198 X 34782817 0 34782817 0 34782817 34669914 0 34669914 0 34669914 PART IV, LINE 2B: AMOUNTS HELD IN TRUST FOR RESIDENTS. PART V, LINE 4: THE CENTER HAS ONE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUND ESTABLISHED FOR SUPPORT FOR THE ELDERLY. PART X, LINE 2: THE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2011 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPPLICABLE TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 0 0 MARY JEAN WEBER CEO & ADMINISTRATOR 246261 61566 0 0 826 206 7413 1853 25766 6442 280266 70067 0 0 MICHAEL BARTOLOTTA FISCAL DIRECTOR 149763 34372 0 0 293 67 4502 1033 26134 5998 180692 41470 0 0 DR MAUREEN ORSEN MEDICAL DIRECTOR 248293 0 0 0 3048 0 7540 0 32208 0 291089 0 0 0 MICHELLE RANDAZZO DIRECTOR OF NURSING 138560 0 0 0 0 0 4157 0 12959 0 155676 0 0 0 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 11 PRIOR TO FILING WITH THE IRS, COPIES WILL BE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. QUESTIONS AND COMMENTS WILL BE FOWARDED TO THE CEO, WHO WILL THEN DISCUSS 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 ALL 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 EMPLOYEES. 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 15A THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS LAST DONE IN DECEMBER 2013. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT TO REFLECT PENSION FUNDED STATUS -7,279,262. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SOCIETY OF ST JOHNLAND 395 SUNKEN MEADOW RD KINGS PARK NY 11758 111890580 FUND RAISING NY 501(C)(3) LINE 7 N/A 0 ST JOHNLAND RESIDENCES II INC 395 SUNKEN MEADOW RD KINGS PARK NY 11758 200316499 TO ESTABLISH, OPERATE AND MAINTAIN AN ADULT RESIDENTIAL FACILITY NY 501(C)(3) LINE 11A, I N/A 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0