2015-10-26T14:08:40-05:00 2014-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2014-01-01 161469476 ST JOHN'S HEALTH CARE CORPORATION STJO 5857601203 150 HIGHLAND AVE ROCHESTER NY 14620 JAMES CLARK VP FINANCE 5857601203 2015-10-12 1 WILLIAM MCDONALD P01600766 5854278900 2015-10-12 2014 2016-04-25 22:37:26Z JAMES CLARK 150 HIGHLAND AVE ROCHESTER NY 14620 48019338 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 1274 325 0 0 73672 51513 47368870 47701808 4858 4294 343090 261723 47790490 48019338 0 0 0 0 33387298 32208224 0 0 0 15805993 14404753 49193291 46612977 -1402801 1406361 34588996 32149376 42940990 46557527 -8351994 -14408151 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 41542655 47735644 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. 41542655 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 1312 0 1 1274 1 0 0 0 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 ROBERT BOEHNER CHAIR 1.00 X X 0 0 0 PAMELA BRADY CHAIR ELECT 1.00 X X 0 0 0 JAMES GALLOWAY TREASURER 1.00 X X 0 0 0 JODI BARBERA BOARD MEMBER 1.00 X 0 0 0 ANNA LYNCH BOARD MEMBER 1.00 X 0 0 0 NANCY ZAENGLEIN SECRETARY 1.00 X X 0 0 0 CHARLES K RUNYON PRESIDENT/CEO 35.00 5.00 X 279864 0 29281 REBECCA PRIEST ADMINISTRATOR 26.00 14.00 X 121108 0 8137 JAMES CLARK VP/CFO 30.00 10.00 X 166523 0 13337 JOSPEH KENNEY VP/LEADERSHIP COACH 34.00 6.00 X 115467 0 10733 HEATHER SOBEL ATTENDING PHYSICIAN 40.00 X 110769 0 1197 AMY MASON PHYSICIAN 40.00 X 186084 0 1981 RENA PINE PRACTICE PARTNER/MEDICAL D 40.00 X 202891 0 12117 1182706 0 76783 7 0 1 0 0 12836 38677 51513 RESIDENT SERVICE REVENUE 623110 46420194 46420194 1281614 1281614 47701808 4294 4294 86100 0 86100 86100 86100 CAFETERIA SALES 722210 141787 141787 SEAGATE ALLIANCE 623110 33836 33836 175623 48019338 47735644 0 232181 26490848 23123870 3366978 49555 49555 3427481 3265564 161917 2240340 2240340 111517 111517 89277 89277 129772 25597 104175 87471 225 87246 339205 231370 107835 126916 126916 86410 23115 63295 1565143 1565143 1631703 1631703 540290 540290 OTHER EXPENSES 3909089 3260712 648377 NEW YORK ASSESSMENT 2680837 2680837 FOOD 1494896 1494896 UTILITIES 918722 918722 693505 490716 202789 46612977 41542655 5070322 0 7091499 5247602 187725 147137 1879581 1795806 70111091 54417092 15872937 15693999 8159415 8776540 1397839 488292 34588996 32149376 13587638 18675484 123930 126880 28459510 27046361 769912 708802 42940990 46557527 X -8351994 -14408151 -8351994 -14408151 34588996 32149376 X 1406361 -7462518 X X 0 1 X 1 1 1 X 24693 101411 153848 73672 51514 405138 45720112 50340317 47832607 46037402 47701808 237632246 45744805 50441728 47986455 46111074 47753322 238037384 0 0 0 238037384 15647 8596 4964 4858 4294 38359 15647 8596 4964 4858 4294 38359 67852 68546 70913 73166 86100 366577 45828304 50518870 48062332 46189098 47843716 238442320 0.99830 0.99830 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 570085 570085 47977663 38746086 9231577 19875341 14105452 5769889 1688002 1565554 122448 15693999 MONEY MARKET 8776540 F 8776540 ASSET RETIREMENT OBLIGATION 451280 BANK OVERDRAFT 118437 DUE TO THIRD PARTIES 139085 708802 X 48019338 0 48019338 0 48019338 46656171 43194 43194 46612977 0 46612977 PART X, LINE 2: IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE HOME RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE HOME IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE HOME'S FINANCIAL STATEMENTS. THE EXEMPT HOME'S INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2012 THROUGH 2014. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ST JOHN'S FOUNDATION 43,194. X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON PRESIDENT/CEO 279864 0 0 0 0 0 15000 0 14281 0 309145 0 15000 0 JAMES CLARK VP/CFO 166523 0 0 0 0 0 0 0 13337 0 179860 0 0 0 AMY MASON PHYSICIAN 186084 0 0 0 0 0 0 0 1981 0 188065 0 0 0 RENA PINE PRACTICE PARTNER/MEDICAL D 202891 0 0 0 0 0 0 0 12117 0 215008 0 0 0 PART I, LINE 3 THIS PROCESS IS COMPLETED BY THE HUMAN RESOURCES DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11 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 BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION -43,194. CHANGE IN MINIMUM PENSION LIABILITY -7,412,628. DEVELOPMENT EXPENSE -6,696. 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 9 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 11B, II 0 SJH COMMUNITY SERVICES INC 150 HIGHLAND AVE ROCHESTER NY 14620 161547182 RESIDENTIAL RETIREMENT COMMUNITY NY 501(C)(3) LINE 9 0 ST JOHN'S PENFIELD HOMES CORP 150 HIGHLAND AVE ROCHESTER NY 14620 452195368 RESIDENTIAL SKILLED GREEN HOUSE FACILITY NY 501(C)(3) LINE 9 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 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 ST JOHN'S HOME FOR THE AGING - REIMBURSE FOR PAYROLL O 4414695 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - REIMBURSE FOR PAYROLL O 3769 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES Q 302478 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID Q 209763 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 37123 AMOUNT RECEIVED ST JOHN'S HOME FOUNDATION - GUARANTEE E 1350000 ACTUAL ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL O 1290447 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - SUPPORT SERVICES Q 144258 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC - SUPPORT SERVICES Q 125688 ACTUAL AMOUNT INCURRED