2019-11-11T14:22:37-06:00 2018-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2018-01-01 222213294 JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING INC JEWI 3154469111 4101 E GENESEE ST SYRACUSE NY 13214 ROBERT WOOD CHIEF FINANCIAL OFFICER 3154469111 2019-11-06 1 KYLE LYSKAWA P01685281 3154764004 2019-11-06 24.103.216.114 2019-11-06 15:41:10 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 40829CFFA5D03EC9CEB83B4924738A0F44263495 2018 2020-03-31 21:24:44Z ROBERT WOOD 4101 E GENESEE ST SYRACUSE NY 13214 1781773 0 X WWW.MENORAHPARKOFCNY.COM X 2000 NY JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING'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. 13 13 14 13 74177 -7598 47472 92761 1951613 1522174 822 1025 0 165813 1999907 1781773 0 0 0 0 689060 681298 0 0 0 1252886 1214121 1941946 1895419 57961 -113646 1417346 1480724 5224727 5401001 -3807381 -3920277 MENORAH PARK'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 1745594 1522174 SEE MISSION STATEMENT ABOVE 1745594 1 1 0 0 0 0 0 0 1 0 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 1 0 0 0 1 3 0 1 14 1 1 1 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 E GENESEE ST SYRACUSE NY 13214 X 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 2.00 38.00 X 0 246242 3474 ROBERT WOOD CHIEF FINANCIAL OFFICER 2.00 46.00 X 0 146636 0 0 392878 3474 0 0 1 0 SODEXO INC 9801 WASHINGTON BOULEVARD GAITHERSBURG MD 20878 DIETARY CONTRACT 454891 1 92761 92761 RENT REVENUE 623000 1522174 1522174 1522174 1025 1025 77236 0 77236 74177 3059 RELATED ENTITY BISTRO 722513 80642 80642 BEAUTY & BARBER 812900 5225 5225 HOUSEKEEPING 900099 2416 2416 294 294 88577 1781773 1522174 74177 92661 498892 498892 18894 18894 125791 125791 37721 37721 4332 4332 14935 14935 19902 4748 15154 44253 44253 216912 176627 40285 380 380 192425 190941 1484 84273 83623 650 20092 20092 DIETARY CONTRACTED SERV 454891 454891 CONTRACTED SERVICES 88741 88741 JH SUPPORT AGREEMENT 62000 62000 UBIT EXPENSES 10985 10985 1895419 1745594 149825 0 150094 167015 923 6937 32670 35250 7487267 6547092 904126 940175 329533 331347 1417346 1480724 359098 579292 6410 33586 3591459 3437530 1267760 1350593 5224727 5401001 X -3807681 -3921327 300 1050 -3807381 -3920277 1417346 1480724 X -113646 750 X 0 1 X 1 0 X 77499 23066 107631 47472 92761 348429 1731001 1692160 1754660 1802614 1522174 8502609 1808500 1715226 1862291 1850086 1614935 8851038 0 0 0 8851038 9 68 695 822 1025 2619 118802 103221 128562 74177 424762 9 118870 103916 129384 75202 427381 145275 28732 40879 20437 91636 326959 1953784 1862828 2007086 1999907 1781773 9605378 0.92150 0.99780 0.04450 0.00330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 7183 16 7199 1 X 120000 120000 6110606 5587356 523250 406950 376549 30401 786615 520091 266524 63096 63096 0 940175 DUE FROM AFFILIATES 815 DEPOSITS HELD IN TRUST 7199 ASSETS LIMITED TO USE 322283 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1050 331347 DUE TO AFFILIATES 1343394 DEPOSITS HELD IN TRUST 7199 1350593 1781773 0 1781773 0 1781773 1895419 0 1895419 0 1895419 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. 0 0 0 0 0 0 0 0 0 MARY ELLEN BLOODGOOD CHIEF EXECUTIVE OFFICER 0 246242 0 0 0 0 0 0 0 3474 0 249716 0 0 PART I, LINE 1B THE CEO & CFO SERVE SIX 501(C)(3) AFFILIATED COMPANIES. THOSE WAGES WERE PAID 100% THROUGH THE JEWISH HOME OF CENTRAL NEW YORK. SUPPORT SERVICES ARE SOLD VIA WRITTEN AGREEMENTS WITH THE OTHER FIVE AFFILIATES. SERVICES SOLD TO THIS COMPANY, RESIDENTIAL LIVING, INCLUDE THE CEO, CFO, ACCOUNTING, PAYROLL, ALL FEDERAL AND STATE REPORTING, HUMAN RESOURCES, AND MAINTENANCE AS NEEDED. A ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 682832CJ7 2014-11-04 4101165 REFINANCING OF ORIGINAL SERIES 2005 BONDS 0 0 0 A 520433 4101165 320319 133958 1 0 1 1 A 0 0 0 0 1 0 1 A 0 0 0 0 0 0 0 0 1 A 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. 20.1 OF THE BOND OBLIGATIONS ARE ALLOCATED TO THE JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING, INC. 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 TAX RETURN IS REVIEWED BY MEMBERS OF THE FINANCE COMMITTEE AND DISTRIBUTED TO THE BOARD 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 THREE YEAR CONTRACT AND PERFORMANCE IS REVIEWED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE ADMINISTRATION OFFICE UPON REQUEST. FORM 990, PART VII SECTION A, LINE 1A THE CEO IS PAID FROM AN AFFILIATE, JEWISH HOME OF CENTRAL NEW YORK. A PORTION OF THE CEO COMPENSATION IS ALLOCATED TO THE JEWISH HOME OF CENTRAL NEW YORK RESIDENTIAL LIVING. HOWEVER, SINCE THE W-2 HAS NOT BEEN ISSUED FROM THIS COMPANY, A ZERO HAS BEEN ENTERED ON PART VII, SECTION A, COL (D) AND THE ENTIRE W-2 AMOUNT IS IN COL (E). FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 750. JEWISH HOME OF CENTRAL NEW YORK INC 4101 EAST GENESEE STREET SYRACUSE NY 13214 150539103 PROVIDE SKILLED NURSING, HOME CARE, ADULT DAY CARE 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 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0