STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST JOHNLAND NURSING CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOHNLAND NURSING CENTER INC (EIN 11-3109867)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349304115
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)
Timestamp2013-11-12T12:34:33-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113109867EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHNLAND NURSING CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone6312695800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1395 SUNKEN MEADOW ROADAddressLine1
CityKINGS PARKCity
StateNYState
ZIP Code11754ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY JEAN WEBERName
TitleCEOTitle
Phone6312695800Phone
Date Signed2013-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY JEAN WEBERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1395 SUNKEN MEADOW ROADAddressLine1
CityKINGS PARKCity
StateNYState
ZIP Code11754ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36195220GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STJOHNLAND.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees463TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year200000ContributionsGrantsPriorYear
Contributions Grants Current Year200000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37092815ProgramServiceRevenuePriorYear
Program Service Revenue CY35438542ProgramServiceRevenueCY
Investment Income Prior Year6805InvestmentIncomePriorYear
Investment Income Current Year95360InvestmentIncomeCurrentYear
Other Revenue Prior Year56866OtherRevenuePriorYear
Other Revenue Current Year461318OtherRevenueCurrentYear
Total Revenue Prior Year37356486TotalRevenuePriorYear
Total Revenue Current Year36195220TotalRevenueCurrentYear
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 Year23901694SalariesEtcPriorYear
Salaries Etc Current Year22778215SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11825380OtherExpensePriorYear
Other Expenses Current Year11633483OtherExpensesCurrentYear
Total Expenses Prior Year35727074TotalExpensesPriorYear
Total Expenses Current Year34411698TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1629412RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1783522RevenuesLessExpensesCY
Total Assets BOY19796756TotalAssetsBOY
Total Assets EOY19082024TotalAssetsEOY
Total Liabilities BOY23735154TotalLiabilitiesBOY
Total Liabilities EOY22231025TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3938398NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3149001NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28010490Expense
Revenue32164570Revenue
DescriptionINPATIENT PROGRAM WITH 250 RESIDENT CARE BEDS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Revenue1867070Revenue
DescriptionADULT DAY CARE PROGRAM FOR 100 REGISTRANTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Revenue1406902Revenue
DescriptionLONG TERM HOME HEALTHCARE PROGRAM FOR 50 REGISTRANTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense28010490TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Rltnshp0OfficerEntityWithBsnssRltnshp
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 With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees463NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 Line1MICHAEL BARTOLOTTABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6312695800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1395 SUNKEN MEADOW RDAddressLine1
CityKINGS PARKCity
StateNYState
ZIP Code11754ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TRUDY H CALABRESE
PRESIDENT0.50XX000
JOAN M HEANEY
ASSISTANT TREASURER0.50XX000
VIRGINIA P JACOBSEN
SECRETARY0.50XX000
WILLIAM D KEEN
TREASURER0.50XX000
CARL H DOERGE JR
VICE PRESIDENT0.50XX000
PHILIP D CALDERONE
VICE PRESIDENT0.50XX000
SUSAN L WALKER
VICE PRESIDENT0.50XX000
PETER FETTEROLF
BOARD MEMBER0.50X000
JOAN P SHEPARD
BOARD MEMBER0.50X000
SHARON FUENTES
ASSISTANT SECRETARY0.50X000
FREDRIC R LAMARCA
ASSISTANT TREASURER0.50X000
HEATHER LANE SPEHR
BOARD MEMBER0.50X000
THOMAS J EKKERS MD
BOARD MEMBER0.50X000
MARY ALICE KOLODNER
BOARD MEMBER0.50X000
BRIAN SWIGGETT
BOARD MEMBER0.50X000
ARTHUR F BRINGS
BOARD MEMBER0.50X000
MARIAN CONWAY
BOARD MEMBER0.50X000
DEBORAH TINTLE HAUSER
BOARD MEMBER0.50X000
STEPHEN VAN R ULMAN
BOARD MEMBER0.50X000
MARY JEAN WEBER
CEO & ADMINISTRATOR30.00X23400158500366737.50
MICHAEL BARTOLOTTA
FISCAL DIRECTOR30.50X13381230711327627.00
DR MAUREEN ORSEN
MEDICAL DIRECTOR37.50239025034577X
LOU ANN RUTHINOSKI
DNS37.50146279032282X
DEANNA BAEZ
ASSISTANT ADMINISTRATOR35.001171818370149822.50X
BETH STEWART
HR DIRECTOR35.001086717762144922.50X
DR ALEX CZIRA
PHYSICIAN37.50108732029504X
BARBARA ADAMS
ASST. DNS37.50102489030894X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1190190TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs105343TotalReportableCompFrmRltdOrgs
Total Other Compensation226166TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO
PO BOX 360170PITTSBURGHPA15251FOOD SERVICE1419819
CARE & COMFORT
1580 OCEAN AVENUEBOHEMIANY11716TRANSPORTATION525125
LOEB & TROPER LLP
655 3RD AVENUENEW YORKNY10017ACCOUNTING238347
DR MAX RUDANSKY
755 NEW YORK AVEHUNTINGTONNY11743MEDICAL SERVICES165840
UNITEX TEXTILES
161 SOUTH MACQUESTEN PKWYMT VERNONNY10550LAUNDRY SERVICE163040
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations200000RelatedOrganizations
Total Contributions200000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING FACILITY6230003216457032164570
ADULT DAY CARE62300018670701867070
LONG TERM HOME HEALTH CARE62300014069021406902
FieldValueIRS element (for citing)
Total Program Service Revenue35438542TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95360TotalRevenueColumn
Exclusion$95,360ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PENSION CREDIT900099297464$297,464
OTHER REVENUES900099163854$163,854
FieldValueIRS element (for citing)
Total Other Revenue461318TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36195220TotalRevenueColumn
Related Or Exempt Function Income35438542RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$556,678ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total697401Total
Management And General697401ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16005294Total
Program Services13621948ProgramServices
Management And General2383346ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4842830Total
Program Services4045382ProgramServices
Management And General797448ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1232690Total
Program Services1010806ProgramServices
Management And General221884ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total177363Total
Management And General177363ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total182892Total
Management And General182892ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2645762Total
Program Services2169525ProgramServices
Management And General476237ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5596Total
Program Services5596ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1154398Total
Program Services946606ProgramServices
Management And General207792ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1413334Total
Program Services1158934ProgramServices
Management And General254400ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total550596Total
Program Services451489ProgramServices
Management And General99107ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32628Total
Program Services26755ProgramServices
Management And General5873ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total133055Total
Program Services109105ProgramServices
Management And General23950ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1429927Total
Program Services1172540ProgramServices
Management And General257387ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total366536Total
Program Services300560ProgramServices
Management And General65976ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPT ASSESS16627831363482299301
FOOD & KITCHEN819818672251147567
PRESCRIPTION DRUGS/SUPP50633741519691141
BAD DEBT485000485000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total67458Total
Program Services55315ProgramServices
Management And General12143ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34411698Total
Program Services28010490ProgramServices
Management And General6401208ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY165977BOY
EOY117664EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1458201BOY
EOY1560942EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6313413BOY
EOY5379085EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY237883BOY
EOY1191605EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY63668BOY
EOY69695EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY710683BOY
EOY657237EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35710961LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25731250LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10702403BOY
EOY9979711EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY144528BOY
EOY126085EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19796756BOY
EOY19082024EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3958507BOY
EOY4573018EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY139761BOY
EOY126085EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6830639BOY
EOY6205472EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY3768861BOY
EOY2602449EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9037386BOY
EOY8724001EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23735154BOY
EOY22231025EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3980898BOY
EOY-3191501EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42500BOY
EOY42500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3938398BOY
EOY-3149001EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19796756BOY
EOY19082024EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1783522ReconcilationRevenueExpenses
Reconcilation Other Changes-994125ReconcilationOtherChanges
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 SeparateXFinancialStatementSeparate
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 Years3160859CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200000CurrentTaxYearMinus1Year
Current Tax Year200000CurrentTaxYear
Total3960859Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35015994CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34744044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34650391CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37092815CurrentTaxYearMinus1Year
Current Tax Year35438542CurrentTaxYear
Total176941786Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38176853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34944044CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34850391CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37292815CurrentTaxYearMinus1Year
Current Tax Year35638542CurrentTaxYear
Total180902645Total

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 Total509180902645PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91995CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6805CurrentTaxYearMinus1Year
Current Tax Year95360CurrentTaxYear
Total239989Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91995CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6805CurrentTaxYearMinus1Year
Current Tax Year95360CurrentTaxYear
Total239989Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66413CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years305058CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56866CurrentTaxYearMinus1Year
Current Tax Year461318CurrentTaxYear
Total964377Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38293510CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35102452CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35159343CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37356486CurrentTaxYearMinus1Year
Current Tax Year36195220CurrentTaxYear
Total182107011Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99340PublicSupportPercentage509
Prior Year Support Percentage0.99590PriorYearSupportPercentage
Investment Income Percentage0.00130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
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
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance42500BeginningOfYearBalance
End Of Year Balance42500EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance42500BeginningOfYearBalance
End Of Year Balance42500EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42500BeginningOfYearBalance
End Of Year Balance42500EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42500BeginningOfYearBalance
End Of Year Balance42500EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis452043OtherCostOrOtherBasis
Book Value452043BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19164556OtherCostOrOtherBasis
Depreciation12669961Depreciation
Book Value6494595BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14434319OtherCostOrOtherBasis
Depreciation11674300Depreciation
Book Value2760019BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1660043OtherCostOrOtherBasis
Depreciation1386989Depreciation
Book Value273054BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9979711TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$200,000
SECURITY DEPOSITS$139,399
ACCRUED PENSION$8,183,457
CAPITAL LEASE PAYABLE$150,052
DUE TO THE SCOIETY OF ST. JOHNLAND$51,093
FieldValueIRS element (for citing)
Total Of Amounts8724001TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt35710220TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal35710220RevenueSubtotal
Other Revenues Not Included485000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt485000RevenueNotRptdOnFinStmt
Total Revenue Per Form99036195220TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33926698TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33926698ExpensesSubtotal
Other Expenses Not Included485000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt485000ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034411698TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:AMOUNTS HELD IN TRUST FOR RESIDENTS.
PART V, LINE 4:THE CENTER HAS ONE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUND ESTABLISHED FOR SUPPORT FOR THE ELDERLY.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
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.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
BAD DEBT EXPENSE 485,000.PART XI, LINE 4B - OTHER ADJUSTMENTS:
BAD DEBT EXPENSE 485,000.PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 (4 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
MARY JEAN WEBER
CEO & ADMINISTRATOR2331755829400826206688517212245356142633396583500
MICHAEL BARTOLOTTA
FISCAL DIRECTOR13353930648002736338818902276752241604603682500
DR MAUREEN ORSEN
MEDICAL DIRECTOR2374410001584065110280660273602000
LOU ANN RUTHINOSKI
DNS145826000453043460279360178561000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2LOU 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 7ATHE 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 7BTHE 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 11PRIOR 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 12CIT 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 15ATHE 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 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ADJUSTMENT TO REFLECT PENSION FUNDED STATUS -994,125.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SOCIETY OF ST JOHNLAND
395 SUNKEN MEADOW RDKINGS PARKNY11758111890580FUND RAISINGNY501(C)(3)LINE 7N/A0
ST JOHNLAND RESIDENCES II INC
395 SUNKEN MEADOW RDKINGS PARKNY11758200316499TO ESTABLISH, OPERATE AND MAINTAIN AN ADULT RESIDENTIAL FACILITYNY501(C)(3)LINE 11A, IN/A0
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg