2011-10-24T12:00:35-05:00 2010-12-31 EFP ROTENBERG LLP 280 KENNETH DRIVE ROCHESTER NY 14623 990 2010-01-01 161469476 ST JOHN'S HEALTH CARE CORP STJO 5857601203 150 HIGHLAND AVE ROCHESTER NY 14620 JAMES MYERS 5857601203 2011-10-14 1 DARLA WHEATON 5854278900 2010 2016-03-07 17:11:31Z JAMES MYERS 150 HIGHLAND AVE ROCHESTER NY 14620 59869422 0 X N/A X 1995 NY RESIDENTIAL SKILLED HEALTH CARE SERVICES 14 13 1142 25000 67852 66852 98472 50001 49395594 46465212 25041 4187218 200140 266991 49719247 50969422 0 0 0 0 32282643 33644843 0 0 0 16684998 17569003 48967641 51213846 751606 -244424 42574520 38769871 55378296 51367994 -12803776 -12598123 ELDERLY AND CONGREGATE SERVICES - 475 BED SKILLED NURSINGFACILITY, REHABILIATION AND MEDICAL ADULT DAYCARE SERVICES. 0 0 43739440 46465212 ELDERLY AND CONGREGATE SERVICES - 475 BED SKILLED NURSINGFACILITY, REHABILIATION AND MEDICAL ADULT DAYCARE SERVICES. 43739440 1 1 0 0 0 0 0 0 0 1 0 0 1 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 0 1 35 0 1142 1 1 1 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 PAMELA BRADY 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 248881 0 59331 JOHN TOSCANO 40.00 X 112002 0 15171 CATHERINE POLLICOVE 40.00 X 11392 0 103693 VERONICA BARBER 38.00 X 164264 0 16453 MARK PEARTREE 40.00 X 121506 0 8751 ANNE DEPOINT 40.00 X 110240 0 17814 JAMES MYERS 40.00 X 108066 0 14916 MARIA A TURNER 37.50 X 223397 0 19926 DR LUTHER KIRAN 40.00 X 120206 0 0 DR JULIAN YOON 40.00 X 147306 0 0 DR G ALLEN POWER 40.00 X 153384 0 0 PATRICIA FLANNERY 40.00 X 116906 0 12327 JANE SNYDER 40.00 X 100753 0 0 1738303 0 268382 13 0 1 0 JOANNE BRAEUNLE 90 LYONS RD RUSH NY 14543 CONSULTING 108023 1 50001 50001 RESIDENT SERVICE REVEN 623110 45720112 45720112 745100 745100 46465212 15647 15647 13071571 8900000 4171571 4171571 4171571 CAFETERIA SALES 722210 199139 199139 RENTAL OF ANTENNA 532000 67852 67852 266991 50969422 50636783 67852 214786 1738303 1738303 25359286 22326325 3032961 1415327 1189484 225843 3214440 2491067 723373 1917487 1629864 287623 151314 151314 56311 56311 56151 6975 49176 74999 157 74842 537651 292721 244930 80570 51683 28887 2180260 2180260 3951452 3951452 1268236 1142452 125784 UNRELATED BUSINESS INCO 21233 21233 ALL OTHER EXPENSES 3201161 2487335 713826 NEW YORK ASSESSMENT 2256267 2256267 DRUGS 1633789 1633789 FOOD 1356790 1356790 742819 742819 51213846 43739440 7474406 0 1693950 542565 831980 612267 7260111 8010083 266760 275936 1723910 2012495 64825682 45978116 19974680 18847566 7270989 7343105 3552140 1125854 42574520 38769871 18066664 18105022 720000 840000 33103804 31928530 3487828 494442 55378296 51367994 X -12803776 -12598123 -12803776 -12598123 42574520 38769871 X -244424 450077 X X 0 1 1 X 1 1 X 198976 121833 48716 88458 24693 482676 43511819 45104846 48933605 49319166 45720112 232589548 43710795 45226679 48982321 49407624 45744805 233072224 0 0 0 233072224 47019 57618 52929 25041 15647 198254 47019 57618 52929 25041 15647 198254 30420 38703 45800 76428 67852 259203 43788234 45323000 49081050 49509093 45828304 233529681 0.99800 0.99820 0.00080 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 570085 570085 45966320 34526596 11439724 16633741 10100952 6532789 1655536 1350568 304968 18847566 MONEY MARKET 7343105 F 7343105 ASSET RETIREMENT OBLIGATI 332186 DUE TO RELATED PARTIES 103506 DUE TO THIRD PARTIES 58750 494442 50969422 51213846 -244424 450077 450077 205653 50927284 -42138 -42138 50969422 0 50969422 50721632 -467712 -467712 51189344 24502 24502 51213846 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 2008 THROUGH 2010. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ST. JOHN'S FOUNDATION -17,635. CHANGE IN MINIMUM PENSION LIABILITY 467,712. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN ST JOHN'S FOUNDATION -17,636. ACCRETION - ARO -24,502. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN MINIMUM PENSION LIABILITY -467,712. PART XIII, LINE 4B - OTHER ADJUSTMENTS: ACCRETION 24,502. X 1 1 X X X 0 0 0 0 0 0 0 0 0 CHARLES K RUNYON 248881 0 0 0 0 0 15000 0 16678 1853 280559 1853 0 0 VERONICA BARBER 164264 0 0 0 0 0 0 0 16453 0 180717 0 0 0 MARIA A TURNER 223397 0 0 0 0 0 0 0 19926 0 243323 0 0 0 DR G ALLEN POWER 153384 0 0 0 0 0 0 0 0 0 153384 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 -17,635. CHANGE IN MINIMUM PENSION LIABILITY 467,712. TOTAL TO FORM 990, PART XI, LINE 5: 450,077. FORM 990, PART XI, LINE 2 (C): NO CHANGE ST JOHN'S HOME FOR THE AGING INC 150 HIGHLAND AVE ROCHESTER NY 14620 160743158 ST. JOHN'S MEADOWS - RESIDENTIAL RETIREMENT COMMUNITY WITH ASSISTED AND NON- NY 501(C)(3) 12 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) 13A 0 ST JOHN'S HOME COMMUNITY SERVICES INC 150 HIGHLAND AVE ROCHESTER NY 14620 161547182 RESIDENTIAL RETIREMENT COMMUNITY NY 501(C)(3) 12 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 ST JOHN'S HOME FOR THE AGING - REIMBURSE FOR PAYROLL N 3399551 ACTUAL AMOUNT INCURRED ST JOHN'S HOME FOR THE AGING - SHARED CEO N 27653 % OF TIME SPENT ST JOHN'S HOME FOR THE AGING - SUPPORT SERVICES P 511999 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - SUPPORT SERVICES AND SALARIES PAID P 231541 FAIR VALUE OF SERVICES ST JOHN'S HOME FOUNDATION - GRANTS C 15563 AMOUNT RECEIVED ST JOHN'S HOME FOUNDATION - GUARANTEE E 1000000 ACTUAL