2020-11-10T11:50:06-07:00 2019-12-31 990 2019-01-01 160955793 PLAZA NURSING HOME COMPANY INC PLAZ 3156991619 5460 Meltzer Court Cicero NY 13039 Penny Hefferon CFO 3154691300 2020-11-10 73.43.215.165 2019 2021-01-29 14:40:06Z The Cottages at Garden Grove Tara Zgoda 5460 Meltzer Court Cicero NY 13039 19050643 0 X www.cottagesatgardengrove.org X 1971 NY Plaza Nursing Home Company, Inc is a skilled nursing facility providing nursing home accommodations for the sick, invalid, infirmed and disabled of the Central New York community. 7 7 350 12 0 0 0 0 19839895 19028191 0 0 27857 22452 19867752 19050643 0 0 0 0 9323722 9725549 0 0 0 9104525 8362612 18428247 18088161 1439505 962482 8796200 10335846 10268627 10853779 -1472427 -517933 Plaza Nursing Home Inc DBA The Cottages at Garden Grove, a long term care and rehabilitation facility providing nursing home accommodations for the sick, invalid, infirmed and disabled of the Central NY Community. 0 0 15930186 19050643 Plaza Nursing Home is a skilled nursing facility providing short term rehabilitation and long-term care placement services to frail and vulnerable individuals in Onondaga County. Care provided includes skilled nursing services, physical, occupational, and speech therapy along with social work, activities, and other related services. 0 0 0 15930186 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 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 11 0 1 350 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Penny Hefferon 3154691300 5460 Meltzer Court Cicero NY 13039 Tara Zgoda President and CEO 40.00 0.00 X X X 187384 0 0 Steven Infanti CHAIRMAN 0.50 0.00 X 0 0 0 Julie Edmunds Smith DIRECTOR 0.50 0.00 X 0 0 0 John Bergemann DIRECTOR 0.50 0 X 0 0 0 Karen Dabrowski DIRECTOR 0.50 0 X 0 0 0 Melissa Allard DIRECTOR 0.50 0.00 X 0 0 0 Jordan Jennings DIRECTOR 0.50 0 X 0 0 0 Molly Galvin DIRECTOR 0.50 0 X 0 0 0 187384 0 0 1 0 1 0 Morrison Community Living PO Box102289 Atlanta GA 30368 Food Service 1075025 Select Rehabilitation NY c/o BBVA Compass Bank PO Box 674102 Dallas TX 752671985 Rehabilitation Therapy 1719340 Health Direct PO Box 988 Buffalo NY 14240 Pharmacy Services 325607 3 0 Skilled Nursing and elder care 623000 19028191 19028191 0 0 0 0 0 0 19028191 0 0 0 0 22452 22452 0 0 22452 19050643 19050643 0 0 0 0 0 0 0 0 0 0 189135 0 189135 0 0 0 0 0 7107685 6821763 285922 0 362904 361500 1404 0 1518067 1272170 245897 0 547758 512110 35648 0 528000 0 528000 0 17278 0 17278 0 45000 0 45000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3846 0 3846 0 39067 0 39067 0 0 0 0 0 1900467 1866531 33936 0 0 0 0 0 0 0 0 3086 269 2817 0 207567 0 207567 0 0 0 0 0 59030 58893 137 0 150911 0 150911 0 Supplies 838619 779932 58687 0 New York State Assessment 780933 780933 0 0 Purchased Services 2150369 2007789 142580 0 1638439 1468296 170143 18088161 15930186 2157975 0 1310966 1801909 0 0 0 0 2929370 3312606 0 0 0 0 0 0 0 0 241863 214113 442209 214872 238406 227337 4075595 4779881 8796200 10335846 2192044 2690790 0 0 0 0 0 0 39095 94265 0 0 0 0 0 0 8037488 8068724 10268627 10853779 X -1472427 -517933 0 0 -1472427 -517933 8796200 10335846 X 962482 0 0 0 0 -7988 X 0 1 X 1 0 X Schedule A, Part I, Line 3 This box has been checked because the IRS Determined Letter, issued January 24, 2006, classified Plaza Nursing Home as a hospital under section 170(b)(1)(A)(iii). The organization is a nursing home. 0 1 X 0 0 0 0 0 0 0 133768 0 33663 100105 275161 0 147929 127232 33280 0 33280 0 227337 Resident funds held in trust 94265 Other long-term receivables 1152215 Funds held by Mandorla Gardens net of CP 1923353 Prepaid Rent 1580719 Other 29329 4779881 0 Due to Third Party Payors, net of current portion 523368 Long-term Liabilities 1162001 Notes Payable to Vendor 1137734 Notes Payable to Affiliate 5245621 8068724 X 19028191 0 0 0 0 0 19028191 0 22452 22452 19050643 18088161 0 0 0 0 0 18088161 0 0 0 18088161 Schedule D, Part IV, Line 2b Resident funds represent amounts deposited with the Nursing Home on behalf of the residents for their discretionary use. These funds are administered by the Nursing Home with the corresponding liability to the residents reflected on the balance sheets. Schedule D, Part X, Line 2 The Nursing Home is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from income taxes on related income pursuant to Section 501(a) of the Code. As of December 31,2019, the Nursing Home did not have any unrecognized tax benefits or any related accrued interest or penalties. The tax years open to examination by federal and New York State authorities are 2015 through 2019. The Nursing Home does not anticipate any unrecognized tax benefits to change in the next twelve months. Schedule D, Part XI, Line 4b Miscellaneous Income X X X 0 0 0 0 0 0 0 0 0 Tara Zgoda President and CEO 178384 0 9000 0 0 0 0 0 0 0 187384 0 0 0 Form 990, Part VI, Section A, Line 6 Plaza Corporation of Central New York is a member of Plaza Nursing Home Inc. Form 990, Part VI, Section A, Line 7a The Organization's Board of Directors meets quarterly. They elect members of the governing body. Form 990, Part VI, Section A, Line 7b The Board of Directors meets quarterly. They discuss and vote on issues regarding new members and other business related actions. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by the Accounting Manager and reviewed by the Chief Financial Officer before submission. A copy of the of the Form 990 is provided to the Board of Directors for review. Form 990, Part VI, Section B, Line 12c The Organization's Conflict of Interest Policy is reviewed and signed by the members of the Board of Directors. Form 990, Part VI, Section B, Line 15 The Board of Directors determines compensation for the Administrator. Form 990, Part VI, Section C, Line 19 The Organization's governing documents and financial statements are available upon request. Form 990, Part XI, Line 9 Pension related changes other than net periodic benefit cost. Plaza Corporation of Central New York 4600 Southwood Heights Drive Jamesville NY 13078 222800840 Holding Company NY 501(c)3 3 N/A 0 Iroquois Nursing Home Inc 4600 Southwood Heights Drive Jamesville NY 13078 161364582 Nursing Home NY 501(c)3 3 N/A 0 Mandorla Gardens Housing Develepment Fund Co 700 East Brighton Ave Syracuse NY 13205 273993174 Real Estate Holding NY 501(c)3 3 N/A 0 Enriched Resources for Independent Elderly 1207 Almond Street Syracuse NY 13209 161163209 Enriched Living NY 501(c)3 3 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Iroquois Nursing Home Inc o 15167 Time card and base wage Iroquois Nursing Home Inc e 117490 Promissory Note Iroquois Nursing Home Inc o 528000 Administrative Fee agreement Schedule R, Part V, Line 2 Promissory Note with fixed interest rate with Iroquois Nursing Home Inc. in the amount of $117,490 interest only payments. Administrative Services Agreement with Iroquois Nursing Home Inc. for financial services and Information Technology support. On Extension which was needed to complete year end Audited Financial Statements