2019-11-11T15:21:24-06:00 2018-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2018-01-01 150539103 JEWISH HOME OF CENTRAL NEW YORK INC JEWI 3154469111 4101 EAST GENESEE STREET SYRACUSE NY 13214 ROBERT WOOD CFO 3154469111 2019-11-06 1 KYLE LYSKAWA P01685281 3154227109 24.103.216.114 2019-11-06 15:49:39 ES P 40829CFFA5D03EC9CEB83B4924738A0F44263495 40829CFFA5D03EC9CEB83B4924738A0F44263495 2018 2020-03-31 21:24:44Z ROBERT WOOD 4101 EAST GENESEE STREET SYRACUSE NY 13214 16348569 0 X WWW.MENORAHPARKOFCNY.COM X 1937 NY TO PROVIDE SKILLED NURSING SERVICES, HOME CARE SERVICES, AND ADULT DAY CARE 13 13 372 100 0 0 1097384 235663 15531794 15309084 175045 19252 396142 784570 17200365 16348569 0 0 0 0 10093327 10400403 0 0 0 5726472 5801083 15819799 16201486 1380566 147083 16693460 16178012 15555960 14970467 1137500 1207545 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 13923658 14532134 SKILLED NURSING FACILITY 300909 293725 HOME HEALTH CARE 285009 483225 ADULT DAY CARE 14509576 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 0 1 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 11 0 1 372 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 DAVID NEWMAN PRESIDENT 1.00 3.00 X X 0 0 0 ART DIAMOND PRESIDENT ELECT 1.00 0.00 X X 0 0 0 HARVEY LASNER VICE PRESIDENT 1.00 1.00 X X 0 0 0 PHYLLIS LAVINE SECRETARY 1.00 1.00 X X 0 0 0 JON MALOFF TREASURER 1.00 2.00 X X 0 0 0 MARK SCHULMAN PAST PRESIDENT 1.00 2.00 X X 0 0 0 JEFFRY BERMAN DIRECTOR 1.00 2.00 X 0 0 0 FRAN CIARDULLO DIRECTOR 1.00 1.00 X 0 0 0 ANDY FOX DIRECTOR 1.00 1.00 X 0 0 0 LUANA REEVES DIRECTOR 1.00 1.00 X 0 0 0 SCOTT SAROFF DIRECTOR 1.00 1.00 X 0 0 0 JEFFREY SCHEER DIRECTOR 1.00 2.00 X 0 0 0 ROBERT HERMAN DIRECTOR 1.00 1.00 X 0 0 0 MARY ELLEN BLOODGOOD CHIEF EXECUTIVE OFFICER 30.00 10.00 X 246242 0 3474 ROBERT WOOD CHIEF FINANCIAL OFFICER 40.00 8.00 X 146636 0 0 392878 0 3474 2 0 1 0 SODEXO INC 9801 WASHINGTON BOULEVARD GAITHERSBURG MD 20878 DIETARY CONTRACT 989430 MARK ERLEBACHER MD 5036 PINE VALLEY DRIVE FAYETTEVILLE NY 13066 MEDICAL DIRECTOR 131700 2 135760 99903 235663 COMMERCIAL/PRIVATE 623000 6709375 6709375 MEDICAID 623000 5040842 5040842 MLTC 623000 2187831 2187831 MEDICARE 623000 1158829 1158829 OTHER NURSING INCOME 623000 212207 212207 15309084 19252 19252 395206 0 395206 395206 395206 ADMIN & SUPPORT SERVICES 900099 361000 361000 MEAL SERVICES 900099 24458 24458 3906 3906 389364 16348569 15309084 0 803822 396352 396352 7232687 6772005 460682 401516 401516 1803094 1495969 307125 566754 566754 64266 64266 32660 32660 15558 15558 215862 212137 3725 7999 1829 6170 182869 26209 156660 39786 39786 346590 314546 32044 17006 6599 10407 716084 687202 28882 798957 769970 28987 150804 150804 SODEXO FOOD CONTRACT 989430 989430 NYS CASH RECEIPTS ASSES 792305 792305 PURCHASED SERVICES 624227 529061 95166 SUPPLIES 556566 552783 3783 250114 240457 9657 16201486 14509576 1691910 0 676349 799304 1348121 1381696 6723 6723 63567 55012 25069797 18058631 7590910 7011166 924364 7007790 5999747 16693460 16178012 3579414 3421171 73290 77830 11318440 10826360 584816 645106 15555960 14970467 X -12719 70771 252084 238639 898135 898135 1137500 1207545 16693460 16178012 X 147083 -63593 -13445 X 0 1 X 1 0 X 248548 320609 562615 1097384 235663 2464819 15098629 15135645 14678582 15136588 15309084 75358528 15347177 15456254 15241197 16233972 15544747 77823347 0 0 0 77823347 518379 403509 459795 570251 414458 2366392 518379 403509 459795 570251 414458 2366392 26465 383999 545952 396142 389364 1741922 15892021 16243762 16246944 17200365 16348569 81931661 0.94990 0.98750 0.02890 0.00700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 23863 6983 16880 1 X 1150220 -13445 1136775 1171442 -21222 1150220 1165338 -6103 1159235 1229732 -64394 1165338 1298699 -68967 1229732 0.79010 0.20990 0 1 1 6903 6903 22118878 15714536 6404342 2811717 2246535 565182 132299 97560 34739 7011166 FUNDED DEPRECIATION INVESTMENT ACCOUNT 924364 F 924364 DUE FROM AFFILIATES 3299868 DEPOSITS HELD IN TRUST 16880 ASSETS LIMITED AS TO USE 1546224 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1136775 5999747 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS, NET 123226 DUE TO AFFILIATES 505000 DEPOSITS HELD IN TRUST 16880 645106 16051440 -63593 -63593 16115033 15558 217978 233536 16348569 15967950 0 15967950 15558 217978 233536 16201486 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 217,978. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 217,978. 0 0 0 0 0 0 0 0 0 MARY ELLEN BLOODGOOD CHIEF EXECUTIVE OFFICER 246242 0 0 0 0 0 0 0 3474 0 249716 0 0 0 A ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832CJ7 2014-11-04 12937386 REFINANCING OF ORIGINAL SERIES 2001 BONDS 0 0 0 A 1641735 12937386 1173166 487492 1 0 1 1 A 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 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 -13,445. 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