2013-11-15T10:16:00-06:00 2012-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2012-01-01 161469476 ST JOHN'S HEALTH CARE CORPORATION STJO 5857601203 150 HIGHLAND AVE ROCHESTER NY 14620 JAMES MYERS 5857601203 2013-11-13 1 DARLA WHEATON CPA P00060135 5854278900 2013-11-12 2012 2016-03-07 17:11:31Z JAMES MYERS 150 HIGHLAND AVE ROCHESTER NY 14620 49972301 0 X N/A X 1995 NY ST. 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. 26 25 1171 325 0 0 101411 157043 51358786 49551688 8596 4963 264749 258607 51733542 49972301 0 0 0 0 35447146 35086577 0 0 0 16894373 14520174 52341519 49606751 -607977 365550 37317739 37131204 58760450 60658771 -21442711 -23527567 X ST. 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. 0 0 43435520 49551688 ST. 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. 43435520 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 16 0 1 1171 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 26 25 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X SABRINA MCLEOD 5857601421 150 HIGHLAND AVENUE ROCHESTER NY 14620 JAMES MCBRIDE 1.00 X 0 0 0 WALLACE BAKER 1.00 X 0 0 0 ROBERT BOEHNER 1.00 X 0 0 0 PORTIA JAMES 1.00 X 0 0 0 MARTHA BRITT 1.00 X 0 0 0 REV LAURETTA DIETRICH 1.00 X 0 0 0 DOMINICK MANCINI 1.00 X 0 0 0 EDWARD SHAW 1.00 X 0 0 0 BRIDGET SHUMWAY 1.00 X 0 0 0 GEORGE YEADON 1.00 X 0 0 0 RICHARD L SMITH 1.00 X 0 0 0 SUSAN CARDOT 1.00 X X 0 0 0 WILLIAM WALLACE 1.00 X X 0 0 0 PAMELA BRADY 1.00 X 0 0 0 CAROL BRINK 1.00 X 0 0 0 DARLENE BYRNS 1.00 X 0 0 0 MILAGROS CONCEPCION 1.00 X 0 0 0 BEVERLY FAIR-BROOKS 1.00 X 0 0 0 JAMES GALLOWAY 1.00 X 0 0 0 DOROTHY HAELEN 1.00 X 0 0 0 GARY LAZENBY 1.00 X 0 0 0 JOHN RICHARDSON 1.00 X 0 0 0 REV JIM SHELDON 1.00 X 0 0 0 ANN WOOD 1.00 X 0 0 0 NANCY ZAENGLEIN 1.00 X 0 0 0 CHARLES K RUNYON 35.00 X 244291 33313 28033 VERONICA BARBER 40.00 X 195262 0 10353 JAMES MYERS 28.00 X 108640 46560 10107 JOSEPH KINNEY 33.50 X 95991 18420 11083 DUANE GIRDNER 31.00 X 77953 23285 10928 MARIE TURNER 40.00 X 193778 0 12483 RENA PINE 40.00 X 201036 0 11801 RICHARD MUFFORD 40.00 X 106313 0 426 JULIE YOON 40.00 X 164127 0 1973 THOMAS PINGREE 38.00 X 161248 8487 12040 REBECCA PRIEST 28.00 X 81218 34807 11717 1629857 164872 120944 8 0 1 0 0 12241 144802 157043 RESIDENT SERVICE REVENUE 623110 47832607 47832607 1719081 1719081 49551688 4963 4963 70913 0 70913 70913 70913 CAFETERIA SALES 722210 187694 187694 187694 49972301 49551688 0 263570 915915 915915 26045700 22003102 4042598 505179 476076 29103 5287474 5010194 277280 2332309 2332309 124801 124801 62630 62630 80391 6574 73817 84197 396 83801 419106 264805 154301 69283 69283 72091 47738 24353 1728895 1728895 2480810 2480810 514245 514245 UNRELATED BUSINESS INCO 14594 14594 NEW YORK ASSESSMENT 2757242 2757242 OTHER EXPENSES 2012246 1874536 137710 FOOD 1536470 1536470 2563173 2402128 161045 49606751 43435520 6171231 0 456274 49545 1000209 343205 7104718 7179388 317061 303462 2101006 2084351 67558686 50881771 17255585 16676915 7251146 8504639 1831740 1989699 37317739 37131204 27161322 30110032 30463625 29989480 1135503 559259 58760450 60658771 X -21442711 -23527567 -21442711 -23527567 37317739 37131204 X 365550 -2450406 X X 0 1 X 1 1 1 X 48716 88458 24693 101411 153848 417126 48933605 49319166 45720112 50340317 47832607 242145807 48982321 49407624 45744805 50441728 47986455 242562933 0 0 0 242562933 52929 25041 15647 8596 4964 107177 52929 25041 15647 8596 4964 107177 45800 76428 67852 68546 70913 329539 49081050 49509093 45828304 50518870 48062332 242999649 0.99820 0.99810 0.00040 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 570085 570085 47154957 37455264 9699693 18145642 11953568 6192074 1688002 1472939 215063 16676915 MONEY MARKET 8504639 F 8504639 BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION 84716 DUE FROM RELATED PARTIES 1904983 1989699 ASSET RETIREMENT OBLIGATI 387176 DUE TO THIRD PARTIES 172083 559259 X 49972301 0 49972301 0 49972301 49618417 11666 11666 49606751 0 49606751 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. X 1 1 X X X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON 244291 33313 0 0 0 0 13200 1800 11469 1564 268960 36677 0 0 VERONICA BARBER 195262 0 0 0 0 0 0 0 10353 0 205615 0 0 0 JAMES MYERS 108640 46560 0 0 0 0 0 0 7075 3032 115715 49592 0 0 MARIE TURNER 193778 0 0 0 0 0 0 0 12483 0 206261 0 0 0 RENA PINE 201036 0 0 0 0 0 0 0 11801 0 212837 0 0 0 JULIE YOON 164127 0 0 0 0 0 0 0 1973 0 166100 0 0 0 THOMAS PINGREE 161248 8487 0 0 0 0 0 0 11438 602 172686 9089 0 0 PART I, LINE 1A SOCIAL CLUB DUES FOR MEMBERSHIP IN THE GENESEE VALLEY CLUB WERE PAID FOR CHARLES RUNYON. BRIDGET SHUMWAY BOARD MEMBER 34000 THE 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 MEMBER 15000 THE BOARD MEMBER IS A FINANCIAL ADVISOR/MONEY MANAGER AT THE COMPANY THAT MANAGES THE ORGANIZATION'S DEFERRED COMPENSATION PAYMENT FOR THE CEO. 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XI, 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 3891570 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC Q 435786 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES Q 273726 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID Q 247159 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 140692 AMOUNT RECEIVED ST JOHN'S HOME FOUNDATION - GUARANTEE E 1620000 ACTUAL ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL O 934953 ACTUAL AMOUNT INCURRED