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ST JOHNLAND NURSING CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST JOHNLAND NURSING CENTER INC (EIN 11-3109867)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-20
IRS object ID
201243559349300619
Schema version
2011v1.2
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)
Timestamp2012-12-20T13:11:24-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-12-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts37356486GrossReceipts
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees458TotalNbrEmployees
Total Nbr Volunteers85TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year200000ContributionsGrantsPriorYear
Contributions Grants Current Year200000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34650391ProgramServiceRevenuePriorYear
Program Service Revenue CY37092815ProgramServiceRevenueCY
Investment Income Prior Year3894InvestmentIncomePriorYear
Investment Income Current Year6805InvestmentIncomeCurrentYear
Other Revenue Prior Year305058OtherRevenuePriorYear
Other Revenue Current Year56866OtherRevenueCurrentYear
Total Revenue Prior Year35159343TotalRevenuePriorYear
Total Revenue Current Year37356486TotalRevenueCurrentYear
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 Year23515283SalariesEtcPriorYear
Salaries Etc Current Year23901694SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11183445OtherExpensePriorYear
Other Expenses Current Year11825380OtherExpensesCurrentYear
Total Expenses Prior Year34698728TotalExpensesPriorYear
Total Expenses Current Year35727074TotalExpensesCurrentYear
Revenues Less Expenses Prior Year460615RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1629412RevenuesLessExpensesCY
Total Assets BOY21212504TotalAssetsBOY
Total Assets EOY19796756TotalAssetsEOY
Total Liabilities BOY25710390TotalLiabilitiesBOY
Total Liabilities EOY23735154TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4497886NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3938398NetAssetsOrFundBalancesEOY
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
Expense28985975Expense
Revenue33349829Revenue
DescriptionINPATIENT PROGRAM WITH 230 RESIDENT CARE BEDS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Revenue2073264Revenue
DescriptionADULT DAY CARE PROGRAM FOR 100 REGISTRANTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Revenue1669722Revenue
DescriptionLONG TERM HOME HEALTHCARE PROGRAM FOR 50 REGISTRANTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense28985975TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees458NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 CEO0CompensationProcessCEO
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
GORDON S HARGRAVES
PRESIDENT0.50XX000
JOAN M HEANEY
CHAIRPERSON0.50XX000
PETER FETTEROLF
SECRETARY0.50XX000
VIRGINIA P JACOBSEN
SECRETARY0.50XX000
WILLIAM D KEEN
TREASURER0.50XX000
CARL H DOERGE JR
VICE PRESIDENT0.50XX000
JOHN M PERKINS
VICE PRESIDENT0.50XX000
STEPHEN VAN R ULMAN
VICE PRESIDENT0.50XX000
WILLIAM A BAUM III
VICE CHAIR0.50XX000
JOAN P SHEPARD
VICE CHAIR0.50XX000
SUSAN L WALKER
VICE CHAIR0.50XX000
TRUDY H CALABRESE
ASSISTANT SECRETARY0.50XX000
PHILLIP D CALDERONE
BOARD MEMBER0.50X000
SHARON FUENTES
BOARD MEMBER0.50X000
FREDRIC LAMARCA
BOARD MEMBER0.50X000
HEATHER LANE SPEHR
BOARD MEMBER0.50X000
THOMAS J EKKERS MD
BOARD MEMBER0.50X000
MARY ALICE KOLODNER
BOARD MEMBER0.50X000
BRIAN SWIGGETT
BOARD MEMBER0.50X000
MARY JEAN WEBER
CEO & ADMINISTRATOR30.00X2449026122542433
MICHAEL BARTOLOTTA
FISCAL DIRECTOR30.50X1370723145935240
DR MAUREEN ORSEN
MEDICAL DIRECTOR37.50253211039788X
LOU ANN RUTHINOSKI
DNS37.50153020034436X
DEANNA BAEZ
ASSISTANT ADMINISTRATOR35.00117702840717236X
BETH STEWART
HR DIRECTOR35.00112528835916963X
MAUREEN RIZZO
L/T DIRECTOR35.00106439760316567X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1124874TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs117053TotalReportableCompFrmRltdOrgs
Total Other Compensation202663TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
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 SERVICE629254
CARE & COMFORT
1580 OCEAN AVENUEBOHEMIANY11716TRANSPORTATION541233
UNITEX
161 SOUTH MACQUESTEN PKWYMT VERNONNY10550LAUNDRY SERVICE170682
LOEB & TROPER LLP
655 3RD AVENUENEW YORKNY10017ACCOUNTING157973
PERSONAL TOUCH
PO BOX 5248NEW YORKNY10087NURSE AGENCY128901
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 FACILI6230003334982933349829
ADULT DAY CARE62300020732642073264
LONG TERM HOME HEALTH62300016697221669722
FieldValueIRS element (for citing)
Total Program Service Revenue37092815TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6805TotalRevenueColumn
Exclusion$6,805ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column56866TotalRevenueColumn
Exclusion$56,866ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue56866TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37356486TotalRevenueColumn
Related Or Exempt Function Income37092815RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$63,671ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total737582Total
Management And General737582ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16485408Total
Program Services14038886ProgramServices
Management And General2446522ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total265204Total
Program Services243510ProgramServices
Management And General21694ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5197539Total
Program Services4319904ProgramServices
Management And General877635ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1215961Total
Program Services997088ProgramServices
Management And General218873ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total222708Total
Management And General222708ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total157973Total
Management And General157973ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2793241Total
Program Services2290458ProgramServices
Management And General502783ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10732Total
Program Services10732ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1889383Total
Program Services1549294ProgramServices
Management And General340089ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1386409Total
Program Services1143402ProgramServices
Management And General243007ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total545619Total
Program Services447408ProgramServices
Management And General98211ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30651Total
Program Services25134ProgramServices
Management And General5517ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total154279Total
Program Services126509ProgramServices
Management And General27770ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1459743Total
Program Services1196989ProgramServices
Management And General262754ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total310129Total
Program Services247760ProgramServices
Management And General62369ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPT ASSESS17141551405607308548
BAD DEBT600000492000108000
PRESCRIPTION DRUGS/SUPP52320842903194177

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27150Total
Program Services22263ProgramServices
Management And General4887ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35727074Total
Program Services28985975ProgramServices
Management And General6741099ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY197887BOY
EOY165977EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1065905BOY
EOY1458201EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6011832BOY
EOY6313413EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY237883EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY64723BOY
EOY63668EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY357681BOY
EOY710683EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35073332LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24370929LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11620252BOY
EOY10702403EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY669880BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1224344BOY
EOY144528EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21212504BOY
EOY19796756EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4739813BOY
EOY3958507EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY89659BOY
EOY139761EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7422425BOY
EOY6830639EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY3273319BOY
EOY3768861EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10185174BOY
EOY9037386EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25710390BOY
EOY23735154EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4540386BOY
EOY-3980898EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY42500BOY
EOY42500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4497886BOY
EOY-3938398EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21212504BOY
EOY19796756EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1629412ReconcilationRevenueExpenses
Reconcilation Other Changes-1069924ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years3395401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3160859CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200000CurrentTaxYearMinus1Year
Current Tax Year200000CurrentTaxYear
Total7156260Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33391743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35015994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34744044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34650391CurrentTaxYearMinus1Year
Current Tax Year37092815CurrentTaxYear
Total174894987Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36787144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38176853CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34944044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34850391CurrentTaxYearMinus1Year
Current Tax Year37292815CurrentTaxYear
Total182051247Total

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 Total509182051247PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30045CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41935CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3894CurrentTaxYearMinus1Year
Current Tax Year6805CurrentTaxYear
Total174674Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30045CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41935CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3894CurrentTaxYearMinus1Year
Current Tax Year6805CurrentTaxYear
Total174674Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69044CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66413CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year305058CurrentTaxYearMinus1Year
Current Tax Year56866CurrentTaxYear
Total572103Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36886233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38293510CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35102452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35159343CurrentTaxYearMinus1Year
Current Tax Year37356486CurrentTaxYear
Total182798024Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99590PublicSupportPercentage509
Prior Year Support Percentage0.99560PriorYearSupportPercentage
Investment Income Percentage0.00100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUES AMNESTY PROGRAM INCOMEGeneralExplanation

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

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
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 Basis19070721OtherCostOrOtherBasis
Depreciation11995552Depreciation
Book Value7075169BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13890525OtherCostOrOtherBasis
Depreciation11057832Depreciation
Book Value2832693BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1660043OtherCostOrOtherBasis
Depreciation1317545Depreciation
Book Value342498BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10702403TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$525,000
SECURITY DEPOSITS$90,286
ACCRUED PENSION$8,422,100
FieldValueIRS element (for citing)
Total Of Amounts9037386TotalOfAmounts
Total Revenue37356486TotalRevenue
Total Expenses35727074TotalExpenses
Excess Or Deficit For Year1629412ExcessOrDeficitForYear
Other-$1,069,924OtherAmount
Total Adjustments-1069924TotalAdjustments
Excess Or Deficit Per FS559488ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt37356486TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal37356486RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99037356486TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35727074TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal35727074ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99035727074TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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: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, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPPLICABLE TAXING AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
ADJUSTMENT TO REFLECT PENSION FUNDED STATUS -1,069,924.PART XI, LINE 8 - 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)

Base 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
2399075997700499512481224530612170254252788496971100
MICHAEL BARTOLOTTA
136902314200017039685415732180850051657343803700
DR MAUREEN ORSEN
24443300087780126610271270292999000
LOU ANN RUTHINOSKI
1506590002361076510267850187456000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2LOU 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 C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, LINE 1A:MARY JEAN WEBER - 7.5 HOURS MICHAEL BARTOLOTTA - 7 HOURS DEANNA BAEZ - 2.5 HOURS BETH STEWART - 2.6 HOURS MAUREEN RIZZO - 2.5 HOURSHOURS WORKED FOR RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:ADJUSTMENT TO REFLECT PENSION FUNDED STATUS -1,069,924. TOTAL TO FORM 990, PART XI, LINE 5: -1,069,924.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
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