2019-11-08T08:44:25-07:00 2018-12-31 990 2018-01-01 160955793 PLAZA NURSING HOME COMPANY INC PLAZ 3156991619 5460 Meltzer Court Cicero NY 13039 Penny Hefferon CFO 3154691300 2019-10-23 73.131.80.29 2018 2020-03-31 21:24:44Z The Cottages at Garden Grove Tara Zgoda 5460 Meltzer Court Cicero NY 13039 19867752 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. 8 8 347 15 0 0 0 0 18919933 19839895 0 0 28356 27857 18948289 19867752 0 0 0 0 9445761 9323722 0 0 0 8898849 9104525 18344610 18428247 603679 1439505 7486641 8796200 10401873 10268627 -2915232 -1472427 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 16255345 0 19867752 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 16255345 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 10 0 1 347 1 0 0 0 0 0 0 0 0 X 8 8 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 4600 Southwood Heights Drive Jamesville NY 13078 Steven Infanti Board Chair 0.5 0 X 0 0 0 Julie Edmunds Smith Board Member 0.5 0 X 0 0 0 John Bergemann Board Member 0.5 0 X 0 0 0 Karen Dabrowski Board Member 0.5 0 X 0 0 0 Melissa Allard Director 0.5 0 X 0 0 0 Jordan Jennings Board Member 0.5 0 X 0 0 0 Molly Galvin Board Member 0.5 0 X 0 0 0 Dorothy Haag Board Member 0.5 0 X 0 0 0 Tara Zgoda President and CEO 40 0 X X X 176252 0 0 176252 0 0 1 0 1 0 Morrison Community Living PO Box102289 Atlanta GA 30368 Food Service 1130957 Select Rehabilitation NY c/o BBVA Compass Bank PO Box 674102 Dallas TX 752671985 Rehabilitation Therapy 1016341 Physical and Occupational Rehab 7733 Forsyth Blvd Suite 1700 Clayton MO 63105 Therapists 678702 Harbor Pharmacy 24 W Bridge St Oswego NY 13126 Pharmacy Services 371737 4 0 Skilled Nursing Services and elder care 623000 19839895 19839895 0 0 0 0 0 0 19839895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27857 27857 0 0 27857 19867752 19867752 0 0 0 0 0 0 0 0 0 0 174402 0 174402 0 0 0 0 0 6824162 6545826 278336 0 350036 340217 9819 0 1447598 1207542 240056 0 527524 493398 34126 0 528000 0 528000 0 12453 0 12453 0 12042 0 12042 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5689 207 5482 0 30996 0 30996 0 0 0 0 0 1851884 1817948 33936 0 0 0 0 0 0 0 0 0 1879 1664 215 0 201636 0 201636 0 0 0 0 0 45635 45498 137 0 131567 0 131567 0 Supplies 835520 782752 52768 0 New York State Assessment 768172 768172 0 0 Provision for uncollectable accounts 987742 987742 0 0 Purchased Services 3442407 3213917 228490 0 248903 50462 198441 0 18428247 16255345 2172902 0 567737 1310966 0 0 0 0 3093528 2929370 0 0 0 0 56473 0 0 0 157561 241863 394248 155842 147432 238406 3463910 4075595 7486641 8796200 2744252 2192044 0 0 0 0 0 0 61898 39095 0 0 0 0 0 0 7595723 8037488 10401873 10268627 X -2915232 -1472427 0 0 0 0 -2915232 -1472427 7486641 8796200 X 1439505 0 0 0 0 3300 X 0 1 X 1 0 X Schedule A, Part I, Line 3 This box has been checked because the IRS Determination 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 126118 0 18504 107614 234850 0 104058 130792 33280 0 33280 0 238406 Residents funds held in trust 39095 Other Long Term Receivables 770432 Funds held by Mandorla Gardens net of CP 1553329 Prepaid Rent 1647223 Due from Third Party Payor 65516 4075595 0 Accrued pension 82395 Due to Affiliate 145061 Due to Third Party Payors, net of current portion 530189 Long-term liabilities 780432 Notes Payable to Vendor 1315285 Notes payable to members,net of current portion 2084126 Notes payable to Affiliate 3100000 8037488 X 19839895 0 0 0 0 0 19839895 0 27857 27857 19867752 18428247 0 0 0 0 0 18428247 0 0 0 18428247 Schedule D, Part IV, Line 2b Residents 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, 2018, 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 taxing authorities are 2015 through 2018. 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 176252 0 0 0 0 0 0 0 0 0 176252 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. The elect the 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 Form 900 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 Enriched Resources for Independent Elderly 1207 Almond Street Syracuse NY 13209 161163209 Enriched Living 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 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Iroquois Nursing Home Inc o 30996 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.