ST JOHNS HEALTH CARE CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS HEALTH CARE CORPORATION (EIN 16-1469476)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349303432
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T10:16:00-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN264298079EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EFP ROTENBERG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1280 KENNETH DRIVEAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14623ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161469476EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S HEALTH CARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone5857601203Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 HIGHLAND AVEAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14620ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES MYERSName
TitleVP FINANCETitle
Phone5857601203Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDARLA WHEATON CPAName
PTINP00060135PTIN
Phone5854278900Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES MYERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 HIGHLAND AVEAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14620ZIPCode
FieldValueIRS element (for citing)
Gross Receipts49972301GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionST. JOHN'S HOME'S MISSION IS TO EMBRACE LIFE WITH VIBRANT, CARING AND LIFE-AFFIRMING RELATIONSHIP AND TO REALIZE ITS VISION OF LEADING AND INSPIRING A SHIFT IN SOCIETY'S VIEWS OF ELDERHOOD. A SKILLED NURSING HOME PROVIDING A FULL RANGE OF SERVICES, ST. JOHN'S HOME EXISTS TO ENHANCE THE LIVES OF ALL ELDER ENTRUSTED TO OUR CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees1171TotalNbrEmployees
Total Nbr Volunteers325TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year101411ContributionsGrantsPriorYear
Contributions Grants Current Year157043ContributionsGrantsCurrentYear
Program Service Revenue Prior Year51358786ProgramServiceRevenuePriorYear
Program Service Revenue CY49551688ProgramServiceRevenueCY
Investment Income Prior Year8596InvestmentIncomePriorYear
Investment Income Current Year4963InvestmentIncomeCurrentYear
Other Revenue Prior Year264749OtherRevenuePriorYear
Other Revenue Current Year258607OtherRevenueCurrentYear
Total Revenue Prior Year51733542TotalRevenuePriorYear
Total Revenue Current Year49972301TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year35447146SalariesEtcPriorYear
Salaries Etc Current Year35086577SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16894373OtherExpensePriorYear
Other Expenses Current Year14520174OtherExpensesCurrentYear
Total Expenses Prior Year52341519TotalExpensesPriorYear
Total Expenses Current Year49606751TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-607977RevenuesLessExpensesPriorYear
Revenues Less Expenses CY365550RevenuesLessExpensesCY
Total Assets BOY37317739TotalAssetsBOY
Total Assets EOY37131204TotalAssetsEOY
Total Liabilities BOY58760450TotalLiabilitiesBOY
Total Liabilities EOY60658771TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-21442711NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-23527567NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. JOHN'S HOME'S MISSION IS TO EMBRACE LIFE WITH VIBRANT, CARING AND LIFE-AFFIRMING RELATIONSHIP AND TO REALIZE ITS VISION OF LEADING AND INSPIRING A SHIFT IN SOCIETY'S VIEWS OF ELDERHOOD. A SKILLED NURSING HOME PROVIDING A FULL RANGE OF SERVICES, ST. JOHN'S HOME EXISTS TO ENHANCE THE LIVES OF ALL ELDER ENTRUSTED TO OUR CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense43435520Expense
Revenue49551688Revenue
DescriptionST. JOHNS HOME IS A 455-BED SENIOR NURSING FACILITY PROVIDING SKILLED NURSING CARE; REHABILITATION SERVICES; MEMORY CARE, COMFORT CARE AND HOSPICE; AND ADULT DAY SERVICES.Description
Total Program Service Expense43435520TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1171NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SABRINA MCLEODBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5857601421TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 HIGHLAND AVENUEAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14620ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAMES MCBRIDE
BOARD MEMBER1.00X000
WALLACE BAKER
BOARD MEMBER1.00X000
ROBERT BOEHNER
BOARD MEMBER1.00X000
PORTIA JAMES
BOARD MEMBER1.00X000
MARTHA BRITT
BOARD MEMBER1.00X000
REV LAURETTA DIETRICH
BOARD MEMBER1.00X000
DOMINICK MANCINI
BOARD MEMBER1.00X000
EDWARD SHAW
BOARD MEMBER1.00X000
BRIDGET SHUMWAY
BOARD MEMBER1.00X000
GEORGE YEADON
BOARD MEMBER1.00X000
RICHARD L SMITH
BOARD MEMBER1.00X000
SUSAN CARDOT
SECRETARY1.00X000X
WILLIAM WALLACE
CHAIR1.00X000X
PAMELA BRADY
BOARD MEMBER1.00X000
CAROL BRINK
BOARD MEMBER1.00X000
DARLENE BYRNS
BOARD MEMBER1.00X000
MILAGROS CONCEPCION
BOARD MEMBER1.00X000
BEVERLY FAIR-BROOKS
BOARD MEMBER1.00X000
JAMES GALLOWAY
BOARD MEMBER1.00X000
DOROTHY HAELEN
BOARD MEMBER1.00X000
GARY LAZENBY
BOARD MEMBER1.00X000
JOHN RICHARDSON
BOARD MEMBER1.00X000
REV JIM SHELDON
BOARD MEMBER1.00X000
ANN WOOD
BOARD MEMBER1.00X000
NANCY ZAENGLEIN
BOARD MEMBER1.00X000
CHARLES K RUNYON
PRESIDENT/CEO35.002442913331328033X
VERONICA BARBER
ADMINISTRATOR/CAO40.00195262010353X
JAMES MYERS
VP/CFO28.001086404656010107X
JOSEPH KINNEY
VP/LEADERSHIP COACH33.50959911842011083X
DUANE GIRDNER
VP/MARKETING31.00779532328510928X
MARIE TURNER
MEDICAL DIRECTOR40.00193778012483X
RENA PINE
PRACTICE PARTNER/MEDICAL DIRECTOR40.00201036011801X
RICHARD MUFFORD
SUPERVISING PHARMACIST40.001063130426X
JULIE YOON
ATTENDING PHYSICIAN40.0016412701973X
THOMAS PINGREE
ASSISTANT MEDICAL DIRECTOR38.00161248848712040X
REBECCA PRIEST
GUIDE MENTOR/ADMINISTRATOR28.00812183480711717X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1629857TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs164872TotalReportableCompFrmRltdOrgs
Total Other Compensation120944TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns12241FederatedCampaigns
All Other Contributions144802AllOtherContributions
Total Contributions157043TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICE REVENUEDescription
Business Code623110BusinessCode
Total Revenue Column47832607TotalRevenueColumn
Related Or Exempt Function Income47832607RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1719081TotalRevenueColumn
Related Or Exempt Function Income1719081RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue49551688TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4963TotalRevenueColumn
Exclusion$4,963ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real70913Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real70913Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column70913TotalRevenueColumn
Exclusion$70,913ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA SALESDescription
Business Code722210BusinessCode
Total Revenue Column187694TotalRevenueColumn
Exclusion$187,694ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue187694TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49972301TotalRevenueColumn
Related Or Exempt Function Income49551688RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$263,570ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total915915Total
Management And General915915ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26045700Total
Program Services22003102ProgramServices
Management And General4042598ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total505179Total
Program Services476076ProgramServices
Management And General29103ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5287474Total
Program Services5010194ProgramServices
Management And General277280ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2332309Total
Program Services2332309ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total124801Total
Management And General124801ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62630Total
Management And General62630ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total80391Total
Program Services6574ProgramServices
Management And General73817ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total84197Total
Program Services396ProgramServices
Management And General83801ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total419106Total
Program Services264805ProgramServices
Management And General154301ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total69283Total
Management And General69283ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72091Total
Program Services47738ProgramServices
Management And General24353ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1728895Total
Program Services1728895ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2480810Total
Program Services2480810ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total514245Total
Program Services514245ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
UNRELATED BUSINESS INCO1459414594
NEW YORK ASSESSMENT27572422757242
OTHER EXPENSES20122461377101874536
FOOD15364701536470

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2563173Total
Program Services2402128ProgramServices
Management And General161045ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total49606751Total
Program Services43435520ProgramServices
Management And General6171231ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY456274BOY
EOY49545EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1000209BOY
EOY343205EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7104718BOY
EOY7179388EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY317061BOY
EOY303462EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2101006BOY
EOY2084351EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis67558686LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50881771LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17255585BOY
EOY16676915EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7251146BOY
EOY8504639EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1831740BOY
EOY1989699EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37317739BOY
EOY37131204EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27161322BOY
EOY30110032EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY30463625BOY
EOY29989480EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1135503BOY
EOY559259EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58760450BOY
EOY60658771EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-21442711BOY
EOY-23527567EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-21442711BOY
EOY-23527567EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37317739BOY
EOY37131204EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses365550ReconcilationRevenueExpenses
Reconcilation Other Changes-2450406ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year101411CurrentTaxYearMinus1Year
Current Tax Year153848CurrentTaxYear
Total417126Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48933605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49319166CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45720112CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50340317CurrentTaxYearMinus1Year
Current Tax Year47832607CurrentTaxYear
Total242145807Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48982321CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49407624CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45744805CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50441728CurrentTaxYearMinus1Year
Current Tax Year47986455CurrentTaxYear
Total242562933Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509242562933PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8596CurrentTaxYearMinus1Year
Current Tax Year4964CurrentTaxYear
Total107177Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years52929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8596CurrentTaxYearMinus1Year
Current Tax Year4964CurrentTaxYear
Total107177Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68546CurrentTaxYearMinus1Year
Current Tax Year70913CurrentTaxYear
Total329539Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49081050CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49509093CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45828304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50518870CurrentTaxYearMinus1Year
Current Tax Year48062332CurrentTaxYear
Total242999649Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99820PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
Investment Income Percentage0.00040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis570085OtherCostOrOtherBasis
Book Value570085BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47154957OtherCostOrOtherBasis
Depreciation37455264Depreciation
Book Value9699693BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis18145642OtherCostOrOtherBasis
Depreciation11953568Depreciation
Book Value6192074BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1688002OtherCostOrOtherBasis
Depreciation1472939Depreciation
Book Value215063BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16676915TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMONEY MARKETDescription
Book Value8504639BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities8504639TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION84716
DUE FROM RELATED PARTIES1904983
FieldValueIRS element (for citing)
Total Book Value Other Assets1989699TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ASSET RETIREMENT OBLIGATI$387,176
DUE TO THIRD PARTIES$172,083
FieldValueIRS element (for citing)
Total Of Amounts559259TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt49972301TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal49972301RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99049972301TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt49618417TotExpensesEtcAuditedFinclStmt
Other Expenses Included11666OtherExpensesIncluded
Expenses Not Rptd F99011666ExpensesNotRptdF990
Expenses Subtotal49606751ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99049606751TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 HOMES FINANCIAL STATEMENTS. THE EXEMPT HOMES INFORMATIONAL RETURNS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES AND ITS OPEN AUDIT PERIODS ARE 2009 THROUGH 2011.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN ST JOHN'S FOUNDATION 11,666.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES K RUNYON
PRESIDENT/CEO2442913331300001320018001146915642689603667700
VERONICA BARBER
ADMINISTRATOR/CAO1952620000000103530205615000
JAMES MYERS
VP/CFO10864046560000000707530321157154959200
MARIE TURNER
MEDICAL DIRECTOR1937780000000124830206261000
RENA PINE
PRACTICE PARTNER/MEDICAL DIRECTOR2010360000000118010212837000
JULIE YOON
ATTENDING PHYSICIAN164127000000019730166100000
THOMAS PINGREE
ASSISTANT MEDICAL DIRECTOR161248848700000011438602172686908900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationSOCIAL CLUB DUES FOR MEMBERSHIP IN THE GENESEE VALLEY CLUB WERE PAID FOR CHARLES RUNYON.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BRIDGET SHUMWAY
BOARD MEMBER34000THE BOARD MEMBER IS A DIRECT OWNER OF A DAYCARE BUSINESS, GENERATIONS CHILD CARE. THE ORGANIZATION RENTS BUILDING SPACE TO GENERATIONS CHILD CARE.0
JAMES MCBRIDE
BOARD MEMBER15000THE BOARD MEMBER IS A FINANCIAL ADVISOR/MONEY MANAGER AT THE COMPANY THAT MANAGES THE ORGANIZATION'S DEFERRED COMPENSATION PAYMENT FOR THE CEO.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD REVIEWS THE FORM 990 PART I THROUGH PART IV AND COMPARES TO THE AUDITED FINANCIAL STATEMENTS TO MAKE SURE THE BOARD AGREES WITH THE PRESENTATION.
FORM 990, PART VI, SECTION B, LINE 12CTHE CORPORATION INSISTS ON ARMS LENGTH TRANSACTIONS IN ALL DEALINGS WITH OUTSIDE COMPANIES.
FORM 990, PART VI, SECTION B, LINE 15THE 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 18THE 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 19THE 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 -11,666. CHANGE IN MINIMUM PENSION LIABILITY -2,197,344. DEVELOPMENT EXPENSE -241,396.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2(C):NO CHANGE FROM PRIOR YEAR

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
ST JOHN'S HOME FOR THE AGING INC
150 HIGHLAND AVEROCHESTERNY14620160743158RESIDENTIAL RETIREMENT COMMUNITY WITH ASSISTED AND NON-ASSISTEDNY501(C)(3)LINE 90
ST JOHN'S SENIOR SERVICES INC
150 HIGHLAND AVEROCHESTERNY14620161547180THE CORPORATION HOLDS AN INVESTMENT IN A COMPANY THAT OPERATES AS A BUYING GNY501(C)(3)LINE 11B, II0
SJH COMMUNITY SERVICES INC
150 HIGHLAND AVEROCHESTERNY14620161547182RESIDENTIAL RETIREMENT COMMUNITYNY501(C)(3)LINE 90
ST JOHN'S PENFIELD HOMES CORP
150 HIGHLAND AVEROCHESTERNY14620452195368RESIDENTIAL SKILLED GREEN HOUSE FACILITYNY501(C)(3)LINE 90
ST JOHN'S HOME FOUNDATION
150 HIGHLAND AVEROCHESTERNY14620161423452OPERATES TO SOLICIT, RECEIVE AND MAINTAIN FUNDS FOR RELATED PARTIESNY501(C)(3)LINE 70
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST JOHN'S HOME FOR THE AGING - REIMBURSE FOR PAYROLL
O3891570ACTUAL AMOUNT INCURRED
SJH COMMUNITY SERVICES INC
Q435786ACTUAL AMOUNT INCURRED
ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES
Q273726FAIR VALUE OF SERVICES
ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID
Q247159FAIR VALUE OF SERVICES
ST JOHN'S HOME FOUNDATION - GRANTS
C140692AMOUNT RECEIVED
ST JOHN'S HOME FOUNDATION - GUARANTEE
E1620000ACTUAL
ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL
O934953ACTUAL AMOUNT INCURRED

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