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ST. JOHN'S HEALTH CARE CORPORATION

Company Details

Name: ST. JOHN'S HEALTH CARE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Oct 1994 (30 years ago)
Entity Number: 1863242
ZIP code: 14620
County: Monroe
Place of Formation: New York
Address: ATTENTION: PRESIDENT, 150 HIGHLAND AVENUE, ROCHESTER, NY, United States, 14620

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MVP HEALTH CARE 2011 161469476 2012-06-20 ST. JOHN'S HEALTH CARE CORPORATION 13
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1985-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 13

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE ASSISTANCE PLAN 2011 161469476 2012-06-20 ST. JOHN'S HEALTH CARE CORPORATION 622
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 645
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
HARTFORD GROUP LIFE INSURANCE 2011 161469476 2012-06-20 ST. JOHN'S HEALTH CARE CORPORATION 788
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1974-04-11
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 639
Retired or separated participants receiving benefits 149

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
EXCELLUS 2011 161469476 2012-06-20 ST. JOHN'S HEALTH CARE CORPORATION 557
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1966-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 456
Retired or separated participants receiving benefits 97

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
HARTFORD GROUP LIFE INSURANCE 2010 161469476 2011-06-17 ST. JOHN'S HEALTH CARE CORPORATION 763
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1974-04-11
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469746
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 622
Retired or separated participants receiving benefits 141

Signature of

Role Plan administrator
Date 2011-06-17
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
MVP HEALTH CARE 2010 161469476 2011-06-17 ST. JOHN'S HEALTH CARE CORPORATION 13
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1985-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 13
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-06-17
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
EXCELLUS 2010 161469476 2011-06-17 ST. JOHN'S HEALTH CARE CORPORATION 851
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1966-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 805
Retired or separated participants receiving benefits 46
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-06-17
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE ASSISTANCE PLAN 2010 161469476 2011-06-17 ST. JOHN'S HEALTH CARE CORPORATION 623
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 623000
Sponsor’s telephone number 5857601206
Plan sponsor’s mailing address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Plan sponsor’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620

Plan administrator’s name and address

Administrator’s EIN 161469476
Plan administrator’s name ST. JOHN'S HEALTH CARE CORPORATION
Plan administrator’s address 150 HIGHLAND AVE, ROCHESTER, NY, 14620
Administrator’s telephone number 5857601206

Number of participants as of the end of the plan year

Active participants 623
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2011-06-17
Name of individual signing ELIZABETH SLATER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTENTION: PRESIDENT, 150 HIGHLAND AVENUE, ROCHESTER, NY, United States, 14620

History

Start date End date Type Value
1994-10-27 1996-02-26 Address ATTENTION: PRESIDENT, 150 HIGHLAND AVENUE, ROCHESTER, NY, 14620, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
960226000590 1996-02-26 CERTIFICATE OF AMENDMENT 1996-02-26
941027000183 1994-10-27 CERTIFICATE OF INCORPORATION 1994-10-27

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA528BO0172 2009-05-13 No data No data
Unique Award Key CONT_IDV_VA528BO0172_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title MEDICAL ADULT DAY CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details

Recipient ST. JOHN'S HEALTH CARE CORPORATION
UEI TJ9LLCJD19C3
Legacy DUNS 073670622
Recipient Address UNITED STATES, 150 HIGHLAND AVE, ROCHESTER, 146203024

Date of last update: 13 Nov 2024

Sources: New York Secretary of State