2012-03-30T09:57:11-05:00 2010-12-31 990 2010-01-01 150539103 JEWISH HOME OF CENTRAL NEW YORK INC JEWI 3154469111 4101 E GENESEE STREET SYRACUSE NY 13214 RICHARD BANIEWICZ 3154469111 2012-03-29 2010 2016-02-24 21:20:13Z MARY ELLEN BLOODGOOD 4101 E GENESEE STREET SYRACUSE NY 13214 14721605 0 X WWW.MENORAHPARKCNY.COM X 1937 NY PROVIDE SKILLED NURSING HOME SERVICES, ADULT DAY CARE 13 13 342 0 0 0 646437 104466 14359595 14616869 -487508 270 0 0 14518524 14721605 0 0 0 0 9820178 9342472 0 0 0 5711730 5459895 15531908 14802367 -1013384 -80762 17964264 17965325 17913110 18009214 51154 -43889 PROVIDE SKILLED NURSING HOME SERVICES, ADULT DAY CARE AND HOME HEALTHCARE SERVICES 0 0 13952260 14616869 PROVIDE SKILLED NURSING HOME SERVICES, ADULT DAY CARE AND HOME HEALTHCARE SERVICES 13952260 1 1 0 0 0 0 0 0 1 1 0 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 0 0 0 0 0 1 18 0 342 1 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 MARY ELLEN BLOODGOOD 3154469111 4101 E GENESEE STREET SYRACUSE NY 13214 JEFFRY BERMAN X X 0 0 0 NEIL BRONSTEIN X 0 0 0 ANDY FOX X 0 0 0 JOSEPH GREENMAN X 0 0 0 PHYLLIS LAVINE X X 0 0 0 JON MALOFF X 0 0 0 NORMAN POLTENSON X 0 0 0 HOWARD PORT X X 0 0 0 JEFFREY SCHEER X X 0 0 0 STEVEN SISSKIND X 0 0 0 JOHN SONNE X 0 0 0 BARRY WEISS X X 0 0 0 GARY ZAUSMER X 0 0 0 MARY ELLEN BLOODGOOD 40.00 X 199549 0 0 MATTHEW DUNN 40.00 X 41257 0 0 240806 0 0 1 0 1 0 SEIU BENEFITS AND PENSION 1153 WEST FAYETTE STREET SYRACUSE NY 13201 UNION EMPLOYEE BENEFITS 1256853 SODEXO PO BOX 360170 PITTSBURGH PA 15251 DIETARY SERVICES 681369 NATIONAL GRID 300 ERIE BLVD WEST SYRACUSE NY 13202 ELECTRIC AND GAS 416984 EXCELLUS BCBS PO BOX 4752 SYRACUSE NY 13221 EMPLOYEE HEALTH INSURANCE 214467 HEALTH DIRECT PO BOX 62246 BALTIMORE MD 21264 PHARMACY SERVICES 116619 5 104466 104466 RESIDENT SERVICES 623000 14072280 14072280 RENTAL INCOME 623990 455807 455807 INSURANCE PROCEEDS, NE 623990 40119 40119 MEALS ON WHEELS 623990 25318 25318 OTHER 623990 17990 17990 5355 5355 14616869 270 270 14721605 14617139 0 0 6981282 6505181 476101 229582 229582 1586879 1516733 70146 544729 511198 33531 63488 63488 27634 27634 15120 4734 10386 1114358 1114358 846630 846630 158959 158959 PURCHASED AND CONTRACT 1263209 1156451 106758 TAXES 678399 678399 SUPPLIES 550992 525620 25372 UTILITIES 463912 463912 OTHER - MISCELLANEOUS 140662 103971 36691 136532 136532 14802367 13952260 850107 0 361474 388315 1931970 1995678 83575 11440 23521 21842 37156 50002 22553412 12960576 10263081 9592836 5263487 5905212 17964264 17965325 1991073 2437254 13900360 13629910 23943 1997734 1942050 17913110 18009214 X -1166943 -1128600 319961 186576 898136 898135 51154 -43889 17964264 17965325 X -80762 -14281 X 0 1 1 X 0 X 646437 104466 750903 12508079 13312274 14072065 13776391 14616869 68285678 12508079 13312274 14072065 14422828 14721335 69036581 0 0 0 69036581 477879 -305807 95696 270 268038 477879 -305807 95696 270 268038 450070 30675 27788 508533 12958149 13820828 13794046 14518524 14721605 69813152 0.98890 0.98460 0.00380 0.04000 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: MEALS ON WHEELS, EMPLOYEE MEALS AND VENDING MACHINE INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1218097 -144825 1073272 1801301 -583204 1218097 1913597 -112296 1801301 0.50000 0.50000 0 1 0 1025643 1025643 19333759 11478525 7855234 2191085 1482051 709034 2925 2925 9592836 DUE FROM AFFILIATES 1610111 RESIDENT FUNDS 34189 ASSETS LIMITED AS TO USE 2239745 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1073272 DEFERRED FINANCING COSTS 782436 DEFERRED THIRD PARTY REIMBURSEMENT 165459 5905212 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 1434819 NOTES PAYABLE TO AFFILIATE 473042 RESIDENT FUNDS 34189 1942050 14721605 14802367 -80762 119098 -133379 -14281 -95043 14707318 119098 -133385 -14287 14721605 0 14721605 14802367 0 14802367 0 14802367 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: SUPPORT AFFILIATED ORGANIZATIONS PART XI, LINE 8 - OTHER ADJUSTMENTS: GRANT FOR PURCHASE OF CAPITAL EQUIPMENT 11,446. CHANGE IN BENEFICIAL INTEREST IN TEMP. RESTRICTED NET ASSETS OF FOUNDATION -144,825. X 0 0 0 0 0 0 0 0 0 MARY ELLEN BLOODGOOD 199549 0 0 0 0 0 0 0 0 0 199549 0 189831 0 SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY 150539103 2001-02-01 19085000 CONSTRUCTION OF NURSING HOME 0 0 0 2002 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 TAX RETURN IS REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE PRIOR TO SUBMISSION FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY AND THE STATEMENTS ARE SIGNED ANNUALLY FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS REVIEWED BY THE BOARD OF DIRECTORS EVERY THREE YEARS AND A CONTRACT IS SIGNED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 119,098. GRANT FOR PURCHASE OF CAPITAL EQUIPMENT 11,446. CHANGE IN BENEFICIAL INTEREST IN TEMP. RESTRICTED NET ASSETS OF FOUNDATION -144,825. TOTAL TO FORM 990, PART XI, LINE 5: -14,281.