2024-10-22T15:29:42-05:00 2023-12-31 202954888 BRYANS & GRAMUGLIA CPAS LLC 1 PINE WEST PLAZA SUITE 107 ALBANY NY 12205 990 2023-01-01 141507009 WELLS NURSING HOME INC WELL 5187624546 201 WEST MADISON AVE JOHNSTOWN NY 12095 JANE SITTERLY PRESIDENT 5187624546 2024-10-22 0 1 ROBERT V GRAMUGLIA P00463762 5184528055 2024-09-25 2023 2024-10-15 13:58:12Z JANE SITTERLY 201 WEST MADISON AVE JOHNSTOWN NY 12095 9897956 0 X WWW.WELLSNURSINGHOME.ORG X 1970 NY SKILLED NURSING FACILITY WITH A COMMITMENT TO PROVIDE QUALITY CARE TO MEET THE NEEDS OF ALL WHO SEEK OUR SERVICES EITHER FOR SHORT-TERM REHABILITATIVE CARE OR EXTENDED NURSING NEEDS. 8 8 180 8 0 0 735852 2847064 6738052 7050889 183789 -147 0 0 7657693 9897806 0 0 0 0 7096872 7694322 0 0 0 2141613 3196011 9238485 10890333 -1580792 -992527 1749216 1985177 1733795 2962283 15421 -977106 X THE PURPOSE OF THE CORPORATION AS DEFINED IN THE CERTIFICATE OF INCORPORATION IS TO PROVIDE NURSING HOME ACCOMMODATIONS FOR SICK, INVALID, INFIRM, DISABLED OR CONVALESCENT PERSONS OF LOW INCOME AND TO THIS END, TO PLAN, CONSTRUCT, ERECT, BUILD, ACQUIRE, ALTER, RECONSTRUCT, REHABILITATE, OWN, MAINTAIN, AND OPERATE A NURSING HOME PROJECT PURSUANT TO THE LAWS AND PROVISIONS OF THE PUBLIC HEALTH LAW. 0 0 9543922 7050889 WELLS NURSING HOME IS A MULTI-DISCIPLINED SKILLED NURSING FACILITY, WHICH INCLUDES A 100 BED, SKILLED NURSING HOME. IN A SAFE, WARM HOME-LIKE ATMOSPHERE SKILLED CARE, HOPE AND ENCOURAGEMENT ARE PROVIDED TO EACH RESIDENT TO THE FULLEST OF THEIR PHYSICAL ABILITIES AND WHENEVER POSSIBLE TO RETURN TO ONE'S OWN HOME AND COMMUNITY THROUGH A HARMONIOUS MULTI-DISCIPLINED APPROACH OF CARING AND LOVE, WE STRIVE TO MEET THE PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL NEEDS OF OUR RESIDENTS. WE EMPHASIZE LIVING DESPITE PHYSICAL AND/OR MENTAL INFIRMITIES, WE STRIVE TO PREVENT FURTHER DECLINES AND WE BELIEVE THAT EACH PERSON SHOULD BE TREATED WITH DIGNITY AND RESPECT THROUGH THE DILIGENT EFFORTS OF A HIGHLY MOTIVATED BOARD OF DIRECTORS, A DEVOTED STAFF, ACTIVE WELLS HOUSE AUXILIARY, CONCERNED FAMILIES AND AN INTERESTED COMMUNITY, WE FULFILL THESE OBJECTIVES. 9543922 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 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 1 18 0 180 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHELE DYGERT 5187624546 201 W MADISON AVE JOHNSTOWN NY 12095 JANE SITTERLY PRESIDENT 0.50 0.50 X X 0 0 0 ANNE CAMPOS SECRETARY/TREASURER 0.50 0.50 X X 0 0 0 GEORGE KLINE BOARD MEMBER 0.50 X 0 0 0 NANCY BROWN BOARD MEMBER 0.50 0.50 X 0 0 0 CAROL BARTHOLOMEW BOARD MEMBER 0.50 0.50 X 0 0 0 ANDREA FETTINGER BOARD MEMBER 0.50 X 0 0 0 BRETT PRESTON VICE PRESIDENT 0.50 X X 0 0 0 MARY ANN SIMEK BOARD MEMBER 0.50 X 0 0 0 NEAL VANSLYKE ADMINISTRATOR 39.00 1.00 X 158002 0 0 MICHELE DYGERT CHIEF FINANCIAL OFFICER 39.00 1.00 X 98389 0 10779 RENEE SWARTZ DIRECTOR OF NURSING 39.00 1.00 X 148810 0 0 405201 0 10779 2 0 1 0 0 2846729 335 2847064 NURSING HOME SERVICES 623000 7050889 7050889 7050889 3 3 150 -150 -150 -150 9897806 7050889 0 -147 257536 257536 6070487 5925768 144719 888301 871288 17013 477998 447000 30998 241009 241009 36000 36000 348286 337257 11029 7306 7306 5020 2160 2860 38121 38121 222970 220400 2570 5756 3500 2256 149857 137119 12738 153155 3289 149866 SUPPLIES 428348 414867 13481 HEALTH ASSESSMENT 332393 332393 FOOD 291163 291163 BAD DEBT EXPENSE 272488 272488 664139 36915 627224 10890333 9543922 1346411 0 206456 379343 276899 472161 109005 114531 49877 31853 12046426 11112934 1059194 933492 2065 1918 45720 51879 1749216 1985177 1105093 1130490 45720 51879 582982 1779914 1733795 2962283 X -215981 -1208508 231402 231402 15421 -977106 1749216 1985177 -992527 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 25001 25001 4972437 4587583 384854 7048988 6525351 523637 933492 DUE TO THIRD-PARTY PAYORS 82172 PERSONAL HEALTHCARE, LLC ADVANCES 1697742 1779914 X PART IV, LINE 2B: WELLS NURSING HOME, INC., AS TRUSTEE, HOLDS PATIENT FUNDS IN AN INTEREST BEARING CHECKING ACCOUNT. THESE FUNDS ARE EXPENDED AT THE DISCRETION OF THE PATIENTS FOR PERSONAL ITEMS. PART X, LINE 2: THE HOME IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOME QUALIFIES FOR CHARITABLE CONTRIBUTION DEDUCTIONS AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED FASB ASC 740-10 WHICH REQUIRES ENTITIES TO DISCLOSE IN THEIR FINANCIAL STATEMENTS THE NATURE OF ANY UNCERTAINTY IN THEIR TAX POSITION. FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. HOWEVER, THE HOME HAS NO KNOWLEDGE OF EVENTS OR CIRCUMSTANCES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE HOME IMPLEMENTED FASB ASC 740-10 AND ITS CURRENT ACCOUNTING POLICY FOR EVALUATING UNCERTAIN TAX POSITIONS IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE HOME HAS NOT RECOGNIZED ANY BENEFITS FROM UNCERTAIN TAX POSITIONS IN 2023 AND BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE STATEMENTS OF FINANCIAL POSITION DATE. THE HOME EVALUATED ITS TAX POSITION AND CONCLUDED THAT ALL OF THE POSITIONS TAKEN BY THE HOME WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION, BASED ON TECHNICAL MERITS. THE INFORMATION RETURNS OF THE HOME FOR 2020, 2021, AND 2022 ARE SUBJECT TO EXAMINATION BY TAX AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. X X 0 0 0 0 0 0 0 0 0 NEAL VANSLYKE ADMINISTRATOR 158002 0 0 0 0 0 0 0 0 0 158002 0 0 0 PART I, LINE 3 COMPENSATION FOR THE ADMINISTRATOR WAS REVIEWED AND DETERMINED AFTER A SALARY STRUCTURE REVIEW WAS COMPLETED FOR WELLS NURSING HOME, INC. A MINIMUM AND MAXIMUM SALARY RANGE WAS DEVELOPED DURING THIS PROJECT AND WAS APPROVED BY THE BOARD OF DIRECTORS. THE BOARD MAKES THE FINAL DECISION FOR ANY CHANGES IN COMPENSATION FOR THE ADMINISTRATOR OF WELLS NURSING HOME. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE WHO WILL IN TURN REPORT TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE FACILITY HAS A CORPORATE COMPLIANCE COMMITTEE THAT MEETS ON A REGULAR BASIS REGARDING COMPLIANCE AND CONFLICTS THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ALL POSITIONS IN THE FACILITY, INCLUDING THE ADMINISTRATOR, WAS REVIEWED AND DETERMINED AFTER A SALARY STRUCTURE REVIEW WAS COMPLETED FOR WELLS NURSING HOME, INC. A MINIMUM AND MAXIMUM SALARY RANGE WAS DEVELOPED DURING THIS PROJECT AND WAS APPROVED BY THE BOARD OF DIRECTORS. THE BOARD MAKES THE FINAL DECISION FOR ANY CHANGES IN COMPENSATION FOR THE ADMINISTRATOR OF WELLS NURSING HOME, INC. THE ADMINISTRATOR HAS BEEN GRANTED THE POWER AND DECISION MAKING CAPACITY TO APPROVE ANY CHANGES WITH SALARY OF ALL OTHER POSITIONS IN THE FACILITY. ANY MAJOR CHANGES OR ADJUSTMENTS WITH IMPORTANT COMPENSATION ISSUES WOULD BE REVIEWED AT THE BOARD OF DIRECTORS LEVEL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 - PART XII - LINE 2C - THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. WELLS HOUSE HEALTH SYSTEM INC 201 MADISON AVE JOHNSTOWN NY 12095 200355659 SPONSORING HEALTH CARE FACILITIES SOLELY FOR WELLS NURSING HOME, INC. NY 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0