2017-11-15T11:25:49-07:00 2016-12-31 990 2016-01-01 150539103 JEWISH HOME OF CENTRAL NEW YORK INC JEWI 3154469111 4101 E GENESEE STREET SYRACUSE NY 13214 Robert Wood CFO 3154469111 2017-11-15 24.103.172.202 2016 2017-02-10 21:41:12Z Robert Wood 4101 E Genesee Street Syracuse NY 13214 16246944 0 X menorahparkofcny.com X 1937 NY Provide skilled nursing services, home care services, adult day care. 13 13 348 100 0 0 320609 562615 15530851 15073788 8303 64589 383999 545952 16243762 16246944 0 0 0 0 10066142 10187911 0 0 0 5670368 5548081 15736510 15735992 507252 510952 16605466 16221322 17291594 16390395 -686128 -169073 Provided 45,916 patient days of skilled nursing home services, with 273 admissions, 6,035 adult day care visits and 14,000 home health care visits. 0 0 14325363 0 14678582 Provided 45,916 patient days of skilled nursing home services, with 273 admissions, 6,035 adult day care visits, and 14,000 home health care visits. 0 0 0 14325363 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 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 0 0 0 0 1 12 0 1 348 1 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 CFO 3154469111 4101 E Genesee Street Syracuse NY 13214 X Scott Saroff Director 1 0 X 0 0 0 Jon Maloff Director 1 0 X 0 0 0 Jeffry Berman Director 1 0 X 0 0 0 Phylis LaVine Secretary 1 0 X X 0 0 0 Jeffrey Scheer Director 1 0 X 0 0 0 Mark Shulman Past President 1 0 X X 0 0 0 Bruce Smith Director 1 0 X 0 0 0 Art Diamond President Elect 1 0 X X 0 0 0 Arthur Liberman Treasurer 1 0 X X 0 0 0 David Newman President 1 0 X X 0 0 0 Robert Weiler Director 1 0 X 0 0 0 Robert Herman Director 1 0 X 0 0 0 Harvey Lasner Director 1 0 X 0 0 0 Mary Ellen Bloodgood CEO 30 10 X X X 239920 0 5606 Robert Wood CFO 40 8 X X 137620 0 0 377540 0 5606 2 0 1 0 Sodexo Inc 9801 Washingtonian Bld Gaithersburg MD 20878 Dietary Service Contract 907355 Mark Erlebacher MD 5036 Pine Valley Drive Fayetteville NY 13066 Medical Director 121696 Affinity Rehabilitation LLC 307 International Circle Suite 100 Hunt Valley MD 21030 Physical & Occupational Therapy services 126429 3 0 0 0 0 0 562615 0 562615 Skilled Nursing Services 623000 14678582 14678582 0 0 Rental Income 623990 395206 395206 0 0 0 0 0 0 15073788 64589 64589 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Insurance Proceeds 900099 150000 150000 0 0 Support Services Sold to Affiliates 900099 356000 356000 0 0 Meals Sold, Cable TV, Vending, Misc 900099 39952 39952 0 0 0 0 0 0 545952 16246944 15684329 0 0 350468 0 350468 0 0 0 0 0 6968754 6478795 489959 0 313895 313895 0 0 1380344 1270325 110019 0 1174450 1105253 69197 0 38128 11550 26578 0 11047 0 11047 0 32760 0 32760 0 184806 184806 0 0 5688 5688 0 0 108133 18133 90000 0 1005695 1005695 0 0 15795 4056 11739 0 33553 33553 0 0 721383 721383 0 0 148386 148386 0 0 Food Service Contract 907355 907355 0 0 Purch Services - Laundry, EMR, Maint, Security 695341 606798 88543 0 NYS Cash Receipts Assessments 745329 745329 0 0 Supplies: Medical, Drugs, Cleaning, Linen, Other 633340 627403 5937 0 261342 136960 124382 0 15735992 14325363 1410629 0 89735 341868 1321238 1375646 11355 8595 323682 361816 23620593 16552417 7463176 7068176 7396280 7065221 16605466 16221322 3315940 3744830 159546 72400 12790923 11789307 1025185 783858 17291594 16390395 X -1851466 -1340514 267203 273306 898135 898135 -686128 -169073 16605466 16221322 X 510952 0 0 0 0 6103 X 0 1 X 1 0 X 673104 1225914 248548 320609 562615 3030790 14587710 15755582 15493835 15856788 15469740 77163655 15260814 16981496 15742383 16177397 16032355 80194445 80194445 3198 211057 123173 8303 64589 410320 3198 211057 123173 8303 64589 410320 0 171592 73081 58062 150000 452735 15264012 17364145 15938637 16243762 16246944 81057500 0.98935 0.99182 0.00506 0.00437 X Schedule A, Part III, Line 12 Insurance proceeds for boilers RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1165338 0 6103 0 0 0 1171441 1229732 0 -64394 0 0 0 1165338 1298699 0 -68967 0 0 0 1229732 1286001 0 12698 0 0 0 1298699 1131180 0 154821 0 0 0 1286001 0 0.77 0.23 0 1 0 6903 0 6903 19606231 0 13745591 5860640 0 0 0 0 2725451 0 2105244 620207 1282008 0 701582 580426 7068176 Due from Affiliates 2949090 Resident Deposits Held in Trust 14623 Assets Limited as to Use 2930066 Beneficial Interest in Net Assets of Foundation 1171442 7065221 0 Estimated Third Party Settlements - net 264235 Note Payable to Affiliate 505000 Residents Deposits Held in Trust 14623 783858 16246944 0 0 0 0 0 16246944 0 0 0 16246944 15735992 0 0 0 0 0 15735992 0 0 0 15735992 Schedule D, Part V, Line 4 Funds are used to support the operation and mission of the skilled nursing home. X 0 0 0 0 0 0 0 0 0 Mary Ellen Bloodgood CEO 239920 0 0 0 0 0 0 0 5606 0 245526 0 222968 0 Robert Wood CFO 137620 0 0 0 0 0 0 0 0 0 137620 0 135662 0 Schedule J, Part II The CEO & CFO serve six affiliated companies. Those wages are paid 100% through the Jewish Home of Central New York. Support services are sold via written agreements with the other five affiliates. Services sold include the CEO & CFO, accounting, payroll, all federal & state reporting, Human Resources, maintenance, & housekeeping, and food service. A Onondaga Civic Development Corporation 800458240 682832CJ7 2014-11-04 12937386 Refinancing of original Series 2001 Bonds 0 0 0 A 12397500 0 12937500 1173166 0 0 595199 0 0 0 0 0 2014 1 0 1 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 Schedule K, Part I, Column a-11/04/2014 12,937,386 Onondaga Civic Development Corporation Series 2014 Bonds were issued in the amount of $20,410,000 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 independent senior living facility, and they are located on one campus. 63.4% of the Bond obligations are allocated 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 990 return is reviewed by members of the Finance committee, and then distributed to the Board members before being filed 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 15 The compensation of the CEO is approved by the Board of Directors. There is a three year contract, and performance bonuses, if any, are reviewed each year. Form 990, Part VI, Section C, Line 19 The governing documents, conflict of interest documents, and audited financials are available to the public in the Administration office, upon request. Form 990, Part XI, Line 9 Change in beneficial interest in assets of the Foundation is $6,103.