2023-11-07T14:11:48-06:00 2022-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2022-01-01 113109867 ST JOHNLAND NURSING CENTER INC STJO 6312695800 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 MICHAEL TRETOLA CEO 6312695800 2023-11-06 1 MICHAEL TRETOLA 999009999 0 MICHELLE MUNDY P01982856 3154227109 2023-11-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL TRETOLA 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 33166279 0 X WWW.STJOHNLAND.ORG X 1991 NY TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THE HIGHEST STANDARD OF QUALITY HEALTHCARE. THE ORGANIZATION SEEKS TO UPHOLD THE PRINCIPALS OF HUMAN DIGNITY AND WORTH, AND AFFIRM THE RIGHT OF EVERY INDIVIDUAL TO MAINTAIN OPTIMUM QUALITY OF LIFE. 11 11 331 11 0 0 1533813 831078 28935646 32106275 0 0 1135874 228926 31605333 33166279 0 0 0 0 20510009 22045201 0 0 0 11043302 12020229 31553311 34065430 52022 -899151 16866421 16661669 17550595 15102590 -684174 1559079 TO CREATE A CARING AND SUPPORTIVE ENVIRONMENT COMMITTED TO THEHIGHEST STANDARDS OF QUALITY HEALTHCARE. IT SEEKS TO UPHOLD THEPRINCIPLES OF HUMAN DIGNITY AND WORTH, AND AFFIRMS THE RIGHT OFEVERY INDIVIDUAL TO MAINTAIN THE OPTIMUM QUALITY OF LIFE. 0 0 23015857 32106275 INPATIENT PROGRAM WITH 230 RESIDENT CARE BEDS 4616 ADULT DAY CARE PROGRAM FOR 100 REGISTRANTS. 228926 228926 23020473 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 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 1 18 0 1 331 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHAEL TRETOLA 6312695800 395 SUNKEN MEADOW ROAD KINGS PARK NY 11754 DAVID H DEMING PRESIDENT 0.50 1.00 X X 0 0 0 CARL H DOERGE JR VICE PRESIDENT 0.50 1.00 X X 0 0 0 SHARON A FUENTES VICE PRESIDENT 0.50 1.00 X X 0 0 0 PETER L FETTEROLF SECRETARY 0.50 1.00 X X 0 0 0 MICHAEL A AGNES TREASURER 0.50 1.00 X X 0 0 0 WILLIAM D KEEN ASSISTANT TREASURER 0.50 1.00 X X 0 0 0 MARY ALICE KOLODNER BOARD MEMBER 0.50 1.00 X 0 0 0 BRIAN E SWIGGETT BOARD MEMBER 0.50 1.00 X 0 0 0 HEATHER L SPEHR BOARD MEMBER 0.50 1.00 X 0 0 0 ARLENE Q VERMYLEN BOARD MEMBER 0.50 1.00 X 0 0 0 DR MARIAN CONWAY BOARD MEMBER 0.50 1.00 X 0 0 0 MARY JEAN WEBER CEO 34.50 3.00 X 419843 0 55023 JOSEPH SANTANGELO DIRECTOR OF FINANCE 33.50 4.00 X 193008 0 48028 NICHOLAS DESTINVILLE ADMINISTRATOR 37.50 X 182887 0 47725 VOHLA PALITAVA RN SUPERVISOR 37.50 X 204254 0 22690 DINA KROLL LPN 37.50 X 172701 0 45055 KATALIN ANDRAS RN PCC 37.50 X 206181 0 6863 GERTHA OCEAN CNA 37.50 X 163481 0 21448 1542355 0 246832 10 0 1 0 LANGUAGE FUNDAMENTALS 1032 MAIN STREET FISHKILL NY 12524 SPEECH THERAPY SERVICES 371663 HEALTHPRO MANAGEMENT SERVICES LLC PO BOX 69268 BALTIMORE MD 21264 THERAPY MANAGEMENT AND CONSULTING SERVIC 355119 2 298911 532167 831078 SKILLED NURSING FACILITY 623000 32106275 32106275 32106275 OTHER INCOME 900099 162033 162033 CAFE INCOME 900099 66893 66893 228926 33166279 32335201 0 0 X 16609404 10714221 5895183 659588 487948 171640 3635338 2689341 945997 1140871 843990 296881 168809 168809 116354 116354 4215944 3221814 994130 2122296 582806 1539490 706895 650344 56551 16987 4665 12322 61042 56159 4883 721309 663605 57704 589221 542085 47136 NEW YORK STATE CASH REC 1410408 1410408 SUPPLIES AND OTHER 1017215 279338 737877 BAD DEBT EXPENSE 873749 873749 34065430 23020473 11044957 0 577497 568485 7245478 7354044 532575 64026 751232 1125256 42675325 35613837 7260067 7061488 499572 488370 16866421 16661669 12972048 10366987 139274 116501 46800 11196 4392473 4607906 17550595 15102590 X -726674 1516579 42500 42500 -684174 1559079 16866421 16661669 X -899151 3142404 X X 0 1 X 1 0 X 204200 204000 200017 200038 298911 1107166 34584068 33322789 30250006 28935646 321106275 448198784 34788268 33526789 30450023 29135684 321405186 449305950 0 0 0 449305950 2989 2989 2989 2989 590251 753548 461796 1135874 78060 3019529 35381508 34280337 30911819 30271558 321483246 452328468 0.99330 0.97980 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 139274 22773 116501 1 X 42500 42500 42500 42500 42500 42500 42500 42500 42500 42500 0.00000 1.00000 0.00000 0 0 452043 452043 22609833 18705468 3904365 19577176 16908369 2668807 36273 36273 7061488 SECURITY DEPOSITS 78818 RELATED PARTY NOTE PAYABLE 806356 DUE FROM ASSISTED LIVING PROJECT 556888 AMOUNTS DUE TO THIRD PARTY PAYORS 2460844 RELATED PARTY LINE OF CREDIT 705000 4607906 31755871 0 31755871 1410408 1410408 33166279 32655022 0 32655022 1410408 1410408 34065430 PART IV, LINE 2B: RESIDENT FUNDS AND SECURITY DEPOSITS ARE HELD IN TRUST. RESIDENT FUNDS AND SECURITY DEPOSITS ARE MAINTAINED IN BANK ACCOUNTS THAT ARE SEPARATE FROM THE CENTER'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS AND SECURITY DEPOSITS ARE CREDITED TO THEIR ACCOUNTS. PART V, LINE 4: THE CENTER HAS ONE INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUND ESTABLISHED FOR SUPPORT OF THE ELDERLY. PART XI, LINE 4B - OTHER ADJUSTMENTS: NEW YORK STATE CASH RECEIPTS ASSESSMENT 1,410,408. PART XII, LINE 4B - OTHER ADJUSTMENTS: NEW YORK STATE CASH RECEIPTS ASSESSMENT 1,410,408. X X X X X 0 0 0 0 0 0 0 0 0 MARY JEAN WEBER CEO 419843 0 0 0 0 0 12595 0 42428 0 474866 0 0 0 JOSEPH SANTANGELO DIRECTOR OF FINANCE 193008 0 0 0 0 0 5790 0 42238 0 241036 0 0 0 NICHOLAS DESTINVILLE ADMINISTRATOR 182887 0 0 0 0 0 5487 0 42238 0 230612 0 0 0 VOHLA PALITAVA RN SUPERVISOR 204254 0 0 0 0 0 6128 0 16562 0 226944 0 0 0 DINA KROLL LPN 172701 0 0 0 0 0 4768 0 40287 0 217756 0 0 0 KATALIN ANDRAS RN PCC 206181 0 0 0 0 0 6185 0 678 0 213044 0 0 0 GERTHA OCEAN CNA 163481 0 0 0 0 0 4904 0 16544 0 184929 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE BOARD ELECT THE DIRECTORS OF EACH PROGRAM 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 7B THE 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 11B PRIOR TO FILING WITH THE IRS, COPIES HAVE BEEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. QUESTIONS AND COMMENTS HAVE BEEN FOWARDED TO THE CEO, WHO HAS DISCUSSED WITH THE PREPARER ANY CHANGES THAT MAY NEED TO BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF ST. JOHNLAND NURSING CENTER, INC. THAT ALL DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS AVOID ANY 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 BOARD MEMBERS. 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 15 THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS PERFORMED IN DECEMBER 2020. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,221,814. MANAGEMENT AND GENERAL EXPENSES 994,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,215,944. FORM 990, PART XI, LINE 9: ADJUSTMENT TO FUNDED STATUS - EMPLOYEE BENEFIT PLAN 3,142,404. FORM 990, PART XII, LINE 2C: NO CHANGE FROM THE PRIOR YEAR. SOCIETY OF ST JOHNLAND 395 SUNKEN MEADOW RD KINGS PARK NY 11758 111890580 FUNDRAISING NY 501(C)(3) LINE 7 ST JOHNLAND NURSING CENTER INC 0 ST JOHNLAND RESIDENCES II INC 395 SUNKEN MEADOW RD KINGS PARK NY 11758 200316499 ADULT RESIDENCE NY 501(C)(3) LINE 12B, II ST JOHNLAND NURSING CENTER INC 0 ST JOHNLAND ASSISTED LIVING INC 395 SUNKEN MEADOW RD KINGS PARK NY 11758 843711158 ASSISTED LIVING NY 501(C)(3) LINE 10 ST JOHNLAND NURSING CENTER INC 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0