2021-11-03T08:32:43-05:00 2020-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2020-01-01 150539103 JEWISH HOME OF CENTRAL NEW YORK INC JEWI 3154469111 4101 EAST GENESEE STREET SYRACUSE NY 13214 ROBERT WOOD CFO 3154469111 2021-11-01 1 ROBERT WOOD XXX-XX-XXXX MICHELLE MUNDY P01982856 3154227109 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBERT WOOD 4101 EAST GENESEE STREET SYRACUSE NY 13214 18179985 0 X WWW.MENORAHPARKOFCNY.COM X 1937 NY TO PROVIDE SKILLED NURSING SERVICES, HOME CARE SERVICES, AND ADULT DAY CARE 10 10 421 20 0 0 472566 3003194 15674292 14362323 26699 18331 798124 796137 16971681 18179985 0 0 0 0 10821870 10702633 0 0 0 6171419 6575223 16993289 17277856 -21608 902129 16127271 16428815 14821030 14032099 1306241 2396716 JEWISH HOME'S MISSION IS TO ASSURE MAXIMUM INDEPENDENCE AND DIGNITY OFFERING A BROAD RANGE OF THE HIGHEST QUALITY OF HEALTH, RESIDENTIAL AND COMMUNITY SERVICES. MENORAH PARK IS COMMITTED TO MAINTAINING JEWISH VALUES AND TRADITIONS. 0 0 15024419 13956564 SKILLED NURSING FACILITY 348969 314027 HOME HEALTH CARE 67437 91732 ADULT DAY CARE 15440825 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 421 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 0 0 NY X ROBERT WOOD 3154469111 4101 EAST GENESEE STREET SYRACUSE NY 13214 ART DIAMOND PRESIDENT 1.00 2.00 X X 0 0 0 BOB HERMAN VICE PRESIDENT 1.00 X X 0 0 0 HARVEY LASNER VICE PRESIDENT 1.00 X X 0 0 0 LUANA REEVES SECRETARY 1.00 X X 0 0 0 JON MALOFF TREASURER 1.00 2.00 X X 0 0 0 MARK SCHULMAN DIRECTOR 1.00 X 0 0 0 FRAN CIARDULLO DIRECTOR 1.00 X 0 0 0 ANDY FOX DIRECTOR 1.00 X 0 0 0 JEFFREY SCHEER DIRECTOR 1.00 X 0 0 0 DAVID NEWMAN DIRECTOR 1.00 X 0 0 0 MARY ELLEN BLOODGOOD CHIEF EXECUTIVE OFFICER 30.00 10.00 X 241189 0 21702 ROBERT WOOD CHIEF FINANCIAL OFFICER 40.00 8.00 X 155204 0 21702 MICHAEL SVENDSEN CHIEF OPERATING OFFICER 40.00 X 133531 0 30915 529924 0 74319 3 0 1 0 SODEXO INC 9801 WASHINGTON BOULEVARD GAITHERSBURG MD 20878 DIETARY CONTRACT 1072897 LAB CORP PO BOX 1214 BURLINGTON NC 27216 COVID-19 TESTING 309328 MARK ERLEBACHER MD 5036 PINE VALLEY DRIVE FAYETTEVILLE NY 13066 MEDICAL DIRECTOR 131700 3 124487 2717716 160991 3003194 COMMERCIAL/PRIVATE 623000 6560767 6560767 MEDICAID 623000 5935842 5935842 MEDICARE 623000 1562054 1562054 OTHER NURSING INCOME 623000 303660 303660 14362323 18331 18331 395302 0 395302 395302 395302 ADMIN & SUPPORT SERVICES 900099 361000 361000 MEAL SERVICES 900099 37032 37032 2803 2803 400835 18179985 14362323 0 814468 439797 439797 7528814 6978020 550794 453911 453911 1691606 1401719 289887 588505 588505 31779 31779 35118 35118 13917 13917 250413 207472 42941 43626 33161 10465 206980 45179 161801 40086 40086 298375 298375 8174 5088 3086 640039 640039 816636 816636 252017 252017 SODEXO FOOD CONTRACT 1083930 1083930 NYS CASH RECEIPTS ASSES 805215 805215 PURCHASED SERVICES 735680 518320 217360 COVID 19 EXPENSES 556797 556797 756441 756441 17277856 15440825 1837031 0 1168646 2083388 1339698 1112535 7062 8568 74576 236788 25588974 19610878 6482166 5978096 1047611 1257639 6007512 5751801 16127271 16428815 3034759 2377649 122458 14027 10877316 10901395 786497 739028 14821030 14032099 X 1001047 2116702 305194 280014 1306241 2396716 16127271 16428815 X 902129 213526 -25180 X 0 1 X 1 0 X 562615 1097384 235663 472566 3003194 5371422 14678582 15136588 15309084 15674292 14362323 75160869 15241197 16233972 15544747 16146858 17365517 80532291 0 0 0 80532291 459795 570251 414458 422001 413633 2280138 459795 570251 414458 422001 413633 2280138 545952 396142 389364 402822 400835 2135115 16246944 17200365 16348569 16971681 18179985 84947544 0.94800 0.94710 0.02680 0.02730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 15885 15885 1 X 305194 305194 1136775 -4528 827053 305194 1150220 -13445 1136775 1171442 -21222 1150220 1165338 -6103 1159235 0 1 1 6903 6903 22326587 16997227 5329360 3123185 2507324 615861 132299 106327 25972 5978096 FUNDED DEPRECIATION INVESTMENT ACCOUNT 1257639 F 1257639 DUE FROM AFFILIATES 3054049 DEPOSITS HELD IN TRUST 22814 ASSETS LIMITED AS TO USE 1567871 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1107067 5751801 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, NET 189746 DUE TO AFFILIATES 526468 DEPOSITS HELD IN TRUST 22814 739028 PART IV, LINE 2B: THESE AMOUNTS REPRESENT FUNDS HELD WITH THE ORGANIZATIONS ON BEHALF OF RESIDENTS. THESE FUNDS ARE HELD IN SEPARATE INTEREST BEARING BANK DEMAND DEPOSIT ACCOUNTS WITH THE CORRESPONDING LIABILITY TO THE RESIDENTS REFLECTED ON THE COMBINED STATEMENTS OF FINANCIAL POSITION. THE ORGANIZATIONS HAVE NOT EXPERIENCED ANY LOSSES IN SUCH ACCOUNTS AND BELIEVES THEY ARE NOT EXPOSED TO ANY SIGNIFICANT CREDIT RISK WITH RESPECT TO DEPOSITS HELD IN TRUST. PART V, LINE 4: FUNDS ARE USED TO SUPPORT THE OPERATION AND MISSION OF THE SKILLED NURSING HOME PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 0 0 0 0 0 0 0 0 0 MARY ELLEN BLOODGOOD CHIEF EXECUTIVE OFFICER 241189 0 0 0 0 0 0 0 21702 0 262891 0 0 0 ROBERT WOOD CHIEF FINANCIAL OFFICER 155204 0 0 0 0 0 0 0 21702 0 176906 0 0 0 MICHAEL SVENDSEN CHIEF OPERATING OFFICER 133531 0 0 0 0 0 0 0 30915 0 164446 0 0 0 A ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832CJ7 2014-11-04 12937386 REFINANCING OF ORIGINAL SERIES 2001 BONDS 0 0 0 A 2732000 12937386 1173166 654442 1 0 1 1 A 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 A 0 SCHEDULE K, PART I SERIES 2014 BONDS WERE ISSUED IN THE AMOUNT OF $20,210,000 TO REFUND THE EXISTING BONDS OF THREE RELATED 501(C)(3) COMPANIES, REFERRED TO IN THE BOND DOCUMENTS AS THE "OBLIGATED GROUP". THESE COMPANIES CONSIST OF A NURSING HOME, AN ASSISTED LIVING FACILITY, AND AN INPEPENDENT SENIOR LIVING FACILITY, AND THEY ARE LOCATED ON ONE CAMPUS. 63.4% OF THE BOND OBLIGATIONS ARE ALLOCATED TO THE JEWISH HOME OF CENTRAL NEW YORK. THE MAIN PURPOSE OF THE 2014 BOND ISSUE WAS TO RETIRE THE PRIOR BONDS ISSUED IN 2001 & 2005, WHICH WERE AT HIGHER INTEREST RATES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE AND THEN DISTRIBUTED TO THE BOARD MEMBERS BEFORE FILING WITH THE IRS FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE CORPORATE COMPLIANCE COMMITTEE ANNUALLY AND DISCLOSURE STATEMENTS ARE SIGNED, REVIEWED, AND ACTED UPON IF REQUIRED. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS APPROVED BY THE BOARD OF DIRECTORS. THERE IS A 3 YEAR CONRACT AND PERFORMANCE BONUSES, IF ANY, ARE REVIEWED EACH YEAR FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE ADMINISTRATION OFFICE, UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION -25,180. JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 222213294 INDEPENDENT SENIOR HOUSING NY 501(C)(3) LINE 11 0 JEWISH HOME OF CENTRAL NEW YORK SENIOR APARTMENTS INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 161585553 INDEPENDENT LIVING FACILITY NY 501(C)(3) LINE 11 0 JEWISH HOME OF CENTRAL NEW YORK FOUNDATION OF SYRACUSE INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 222360749 RAISE FUNDS AND RECEIVE DONATIONS ON BEHALF OF AFFILIATED ORGANIZATIONS NY 501(C)(3) LINE 10 0 MENORAH PARK GROUP RESIDENCES INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 262639157 HOUSING AND SERVICES TO HANDICAPPED INDIVIDUALS NY 501(C)(3) LINE 11 0 SYRACUSE JEWISH FAMILY SERVICES INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 150539102 ELDERLY SERVICES, COUNSELING, AND COMMUNITY SUPPORT NY 501(C)(3) LINE 7 0 MENORAH PARK INSTITUTE INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 272415736 CONDUCT RESEARCH ON AN AGING POPULATION NY 501(C)(3) LINE 11 0 0 0 1 1 1 0 0 0 0 1 0 0 1 0 0 0 1 0 0