2013-11-12T12:34:33-06:00 2012-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2012-01-01 113109867 ST JOHNLAND NURSING CENTER INC STJO 6312695800 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 MARY JEAN WEBER 6312695800 2013-11-08 1 FREDERICK H ROTHMAN P01275277 2128674000 2012 2016-02-24 21:20:13Z MARY JEAN WEBER 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 36195220 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. 18 18 463 20 0 0 200000 200000 37092815 35438542 6805 95360 56866 461318 37356486 36195220 0 0 0 0 23901694 22778215 0 0 0 11825380 11633483 35727074 34411698 1629412 1783522 19796756 19082024 23735154 22231025 -3938398 -3149001 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 28010490 32164570 INPATIENT PROGRAM WITH 250 RESIDENT CARE BEDS. 1867070 ADULT DAY CARE PROGRAM FOR 100 REGISTRANTS. 1406902 LONG TERM HOME HEALTHCARE PROGRAM FOR 50 REGISTRANTS. 28010490 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 34 0 0 463 1 0 0 0 0 0 0 0 0 0 0 X 18 18 1 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 0.50 X X 0 0 0 JOAN M HEANEY 0.50 X X 0 0 0 VIRGINIA P JACOBSEN 0.50 X X 0 0 0 WILLIAM D KEEN 0.50 X X 0 0 0 CARL H DOERGE JR 0.50 X X 0 0 0 PHILIP D CALDERONE 0.50 X X 0 0 0 SUSAN L WALKER 0.50 X X 0 0 0 PETER FETTEROLF 0.50 X 0 0 0 JOAN P SHEPARD 0.50 X 0 0 0 SHARON FUENTES 0.50 X 0 0 0 FREDRIC R LAMARCA 0.50 X 0 0 0 HEATHER LANE SPEHR 0.50 X 0 0 0 THOMAS J EKKERS MD 0.50 X 0 0 0 MARY ALICE KOLODNER 0.50 X 0 0 0 BRIAN SWIGGETT 0.50 X 0 0 0 ARTHUR F BRINGS 0.50 X 0 0 0 MARIAN CONWAY 0.50 X 0 0 0 DEBORAH TINTLE HAUSER 0.50 X 0 0 0 STEPHEN VAN R ULMAN 0.50 X 0 0 0 MARY JEAN WEBER 30.00 7.50 X 234001 58500 36673 MICHAEL BARTOLOTTA 30.50 7.00 X 133812 30711 32762 DR MAUREEN ORSEN 37.50 X 239025 0 34577 LOU ANN RUTHINOSKI 37.50 X 146279 0 32282 DEANNA BAEZ 35.00 2.50 X 117181 8370 14982 BETH STEWART 35.00 2.50 X 108671 7762 14492 DR ALEX CZIRA 37.50 X 108732 0 29504 BARBARA ADAMS 37.50 X 102489 0 30894 1190190 105343 226166 8 0 1 0 SODEXO PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1419819 CARE & COMFORT 1580 OCEAN AVENUE BOHEMIA NY 11716 TRANSPORTATION 525125 LOEB & TROPER LLP 655 3RD AVENUE NEW YORK NY 10017 ACCOUNTING 238347 DR MAX RUDANSKY 755 NEW YORK AVE HUNTINGTON NY 11743 MEDICAL SERVICES 165840 UNITEX TEXTILES 161 SOUTH MACQUESTEN PKWY MT VERNON NY 10550 LAUNDRY SERVICE 163040 5 200000 200000 SKILLED NURSING FACILITY 623000 32164570 32164570 ADULT DAY CARE 623000 1867070 1867070 LONG TERM HOME HEALTH CARE 623000 1406902 1406902 35438542 95360 95360 PENSION CREDIT 900099 297464 297464 OTHER REVENUES 900099 163854 163854 461318 36195220 35438542 0 556678 697401 697401 16005294 13621948 2383346 4842830 4045382 797448 1232690 1010806 221884 177363 177363 182892 182892 2645762 2169525 476237 5596 5596 1154398 946606 207792 1413334 1158934 254400 550596 451489 99107 32628 26755 5873 133055 109105 23950 1429927 1172540 257387 366536 300560 65976 NYS CASH RECEIPT ASSESS 1662783 1363482 299301 FOOD & KITCHEN 819818 672251 147567 PRESCRIPTION DRUGS/SUPP 506337 415196 91141 BAD DEBT 485000 485000 67458 55315 12143 34411698 28010490 6401208 0 165977 117664 1458201 1560942 6313413 5379085 237883 1191605 63668 69695 710683 657237 35710961 25731250 10702403 9979711 0 144528 126085 19796756 19082024 3958507 4573018 139761 126085 6830639 6205472 3768861 2602449 9037386 8724001 23735154 22231025 X -3980898 -3191501 42500 42500 -3938398 -3149001 19796756 19082024 X 1783522 -994125 X X 0 1 X 1 1 1 X 3160859 200000 200000 200000 200000 3960859 35015994 34744044 34650391 37092815 35438542 176941786 38176853 34944044 34850391 37292815 35638542 180902645 0 0 0 180902645 41935 91995 3894 6805 95360 239989 41935 91995 3894 6805 95360 239989 74722 66413 305058 56866 461318 964377 38293510 35102452 35159343 37356486 36195220 182107011 0.99340 0.99590 0.00130 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 42500 42500 42500 42500 42500 42500 42500 42500 1.00000 0 0 452043 452043 19164556 12669961 6494595 14434319 11674300 2760019 1660043 1386989 273054 9979711 LINE OF CREDIT 200000 SECURITY DEPOSITS 139399 ACCRUED PENSION 8183457 CAPITAL LEASE PAYABLE 150052 DUE TO THE SCOIETY OF ST. JOHNLAND 51093 8724001 X 35710220 0 35710220 485000 485000 36195220 33926698 0 33926698 485000 485000 34411698 PART IV, LINE 2B: AMOUNTS HELD IN TRUST FOR RESIDENTS. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CENTER HAS ONE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUND ESTABLISHED FOR SUPPORT FOR THE ELDERLY. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPPLICABLE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 485,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 485,000. X X X X 0 0 0 0 0 0 0 0 0 MARY JEAN WEBER 233175 58294 0 0 826 206 6885 1721 22453 5614 263339 65835 0 0 MICHAEL BARTOLOTTA 133539 30648 0 0 273 63 3881 890 22767 5224 160460 36825 0 0 DR MAUREEN ORSEN 237441 0 0 0 1584 0 6511 0 28066 0 273602 0 0 0 LOU ANN RUTHINOSKI 145826 0 0 0 453 0 4346 0 27936 0 178561 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 LOU ANN RUTHINOSKY AND THE ADMINISTATOR HAVE A FAMILY RELATIONSHIP. LOU ANN RUTHINOSKY IS THE ADMINISTRATOR'S (MARY JEAN WEBER) SISTER. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE DIRECTORS 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 A RELATED ORGANIZATION TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS LAST DONE IN DECEMBER 2012. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ADJUSTMENT TO REFLECT PENSION FUNDED STATUS -994,125. 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