2012-11-15T12:08:26-06:00 2011-12-31 264298079 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2011-01-01 161469476 ST JOHN'S HEALTH CARE CORP STJO 5857601203 150 HIGHLAND AVE ROCHESTER NY 14620 JAMES MYERS 5857601203 2012-11-14 1 DARLA WHEATON CPA P00060135 5854278900 2012-11-14 2011 2016-02-24 21:20:13Z JAMES MYERS 150 HIGHLAND AVE ROCHESTER NY 14620 51733542 0 X N/A X 1995 NY RESIDENTIAL SKILLED HEALTH CARE SERVICES 14 13 1172 25000 68546 67546 50001 101411 46465212 51358786 4187218 8596 266991 264749 50969422 51733542 0 0 0 0 33644843 35447146 0 0 0 17569003 16894373 51213846 52341519 -244424 -607977 38769871 37317739 51367994 58760450 -12598123 -21442711 ELDERLY AND CONGREGATE SERVICES - 475 BED SKILLED NURSINGFACILITY, REHABILIATION AND MEDICAL ADULT DAYCARE SERVICES. 0 0 45181098 51358786 ELDERLY AND CONGREGATE SERVICES - 475 BED SKILLED NURSINGFACILITY, REHABILIATION AND MEDICAL ADULT DAYCARE SERVICES. 45181098 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 0 1 43 0 1 1172 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 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 HAROLD ASHWORTH 1.00 X 0 0 0 ROBERT BOEHNER 1.00 X 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 X 0 0 0 RICHARD L SMITH 1.00 X 0 0 0 SUSA CARDOT 1.00 X 0 0 0 WILLIAM WALLACE 1.00 X 0 0 0 CHARLES K RUNYON 40.00 X 245408 27268 24902 CATHERINE POLLICOVE 40.00 X 5793 110072 4606 VERONICA BARBER 38.00 X 167876 0 9416 MARK PEARTREE 40.00 X 48166 48166 240 ANNE DEPOINT 40.00 X 57410 57410 9352 JAMES MYERS 40.00 X 121860 13540 8770 JOSEPH KENNEY JR 40.00 X 97322 17175 9391 GERALD STRYKER 4.00 X 13938 125466 3777 DUANE GIRDNER 26.00 X 64880 34935 9061 MARIA A TURNER 37.50 X 233053 0 9775 DR JULIAN YOON 40.00 X 161727 0 137 DR G ALLEN POWER 40.00 X 155866 0 9822 PATRICIA FLANNERY 40.00 X 110073 0 3898 JANE SNYDER 40.00 X 102105 0 3677 THOMAS PINGREE 40.00 X 195307 0 9536 1780784 434032 116360 9 0 1 0 0 9503 91908 101411 RESIDENT SERVICE REVEN 623110 50340317 50340317 1018469 1018469 51358786 8596 8596 CAFETERIA SALES 722210 196203 196203 RENTAL OF ANTENNA 532000 68546 68546 264749 51733542 51358786 68546 204799 1055706 1055706 26768841 22862646 3906195 1003134 973891 29243 4377039 4027232 349807 2242426 2242426 114728 114728 84927 84927 62239 7791 54448 59563 59563 484744 301355 183389 81203 81203 54468 39028 15440 1808648 1808648 2537321 2537321 540001 540001 UNRELATED BUSINESS INCO 18121 18121 OTHER EXPENSES 3443116 2752896 690220 NEW YORK ASSESSMENT 3057250 3057250 DRUGS 1692794 1692794 2855250 2337819 517431 52341519 45181098 7160421 0 542565 456274 612267 1000209 8010083 7104718 275936 317061 2012495 2101006 65713784 48458199 18847566 17255585 7343105 7251146 1125854 1831740 38769871 37317739 18105022 27161322 840000 0 31928530 30463625 494442 1135503 51367994 58760450 X -12598123 -21442711 -12598123 -21442711 38769871 37317739 X -607977 -8236611 X X 0 1 1 X 1 1 X 121833 48716 88458 24693 101411 385111 45104846 48933605 49319166 45720112 50340317 239418046 45226679 48982321 49407624 45744805 50441728 239803157 0 0 0 239803157 57618 52929 25041 15647 8596 159831 57618 52929 25041 15647 8596 159831 38703 45800 76428 67852 68546 297329 45323000 49081050 49509093 45828304 50518870 240260317 0.99810 0.99800 0.00070 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 570085 570085 46094613 36055545 10039068 17361084 10989808 6371276 1688002 1412846 275156 17255585 MONEY MARKET 7251146 F 7251146 ASSET RETIREMENT OBLIGATI 358627 DUE TO THIRD PARTIES 776876 1135503 51733542 52341519 -607977 -8236611 -8236611 -8844588 51733542 0 51733542 0 51733542 52350834 9315 9315 52341519 0 52341519 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION -9,315. CHANGE IN MINIMUM PENSION LIABILITY -8,227,296. TOTAL TO SCHEDULE D, PART XI, LINE 8: -8,236,611. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ST JOHN'S FOUNDATION 9,315. X 1 1 X X X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON 245408 27268 0 0 0 0 13500 1500 8912 990 267820 29758 13500 1500 VERONICA BARBER 167876 0 0 0 0 0 0 0 9416 0 177292 0 0 0 MARIA A TURNER 233053 0 0 0 0 0 0 0 9775 0 242828 0 0 0 DR JULIAN YOON 161727 0 0 0 0 0 0 0 137 0 161864 0 0 0 DR G ALLEN POWER 155866 0 0 0 0 0 0 0 9822 0 165688 0 0 0 THOMAS PINGREE 195307 0 0 0 0 0 0 0 9536 0 204843 0 0 0 PART I, LINE 1A SOCIAL CLUB DUES FOR MEMBERSHIP IN THE GENESEE VALLEY CLUB WERE PAID FOR CHARLES RUNYON. 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 5: CHANGE IN BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION -9,315. CHANGE IN MINIMUM PENSION LIABILITY -8,227,296. TOTAL TO FORM 990, PART XI, LINE 5: -8,236,611. FORM 990, PART XI, LINE 2 (C): NO CHANGE 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 1 1 1 0 0 ST JOHN'S HOME FOR THE AGING - REIMBURSE FOR PAYROLL N 3520790 ACTUAL AMOUNT INCURRED SJH COMMUNITY SERVICES INC P 28785 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES P 760285 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID P 258185 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 90832 AMOUNT RECEIVED ST JOHN'S HOME FOUNDATION - GUARANTEE E 1620000 ACTUAL ST JOHN'S PENFIELD - REIMBURSE FOR PAYROLL N 96746 ACTUAL AMOUNT INCURRED ST JOHN'S PENFIELD - CONSTRUCTION COSTS P 588534 ACTUAL AMOUNT INCURRED