2017-09-18T14:56:48-07:00 2016-12-31 990 2016-01-01 160955793 PLAZA NURSING HOME COMPANY INC PLAZ 3154133206 5460 Meltzer Court Cicero NY 13039 Penny Hefferon CFO 3154691300 2017-08-31 216.171.182.94 2016 2021-01-29 14:40:06Z The Cottages at Garden Grove Tara Zgoda 5460 Meltzer Court Cicero NY 130399430 18618920 0 X www.cottagesatgardengrove.org X 1971 NY Plaza Nursing Home Company, Inc is a skilled nursing facility providing both short-term and long-term placement services. 8 8 385 1 0 0 0 0 16967953 18587807 0 0 8612 31113 16976565 18618920 0 0 0 0 9895570 9636704 0 0 0 8439838 8732142 18335408 18368846 -1358843 250074 7035788 7370937 10866251 10919169 -3830463 -3548232 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 16754722 0 18618920 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 physical, occupational, and speech therapy along with social work, activities, and other related services. 0 0 0 16754722 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 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 12 0 1 385 1 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 1 0 0 NY X Penny Hefferon 3154691300 4600 Southwood Heights Drive Jamesville NY 13078 Steven Infanti Board Chair 0.5 0 X X 0 0 0 Kelli Harris Board Treasurer and Secretary 0.5 0 X X 0 0 0 Mark Murphy Board Member 0.5 0 X 0 0 0 Anita Anderson Board Member 0.5 0 X 0 0 0 Melissa Allard Director 0.5 0 X 0 0 0 John Bergemann Board Member 0.5 0 X 0 0 0 Barbara Drapola Board Member 0.5 X 0 0 0 Mitchell Lebowitz MD Board Member 0.5 0 X 0 0 0 Tara Zgoda President and CEO 40.00 0 X X X 149836 0 404 149836 0 404 0 0 1 0 Physical and Occupational REhab 7733 Forsyth Blvd Suite 1700 Clayton MO 63105 Therapists 1767878 Morrison Community Living PO Box102289 Atlanta GA 30368 Food Service 845523 Omnicare Inc Dept 781668 PO Box 78000 Detroit MI 48278 Pharmacy Services 256332 Iroquois Nursing Home 4600 Southwood Heights Drive Jamesville NY 13078 Administrative Fees 480000 Advanced Institution Support Service 700 East Brighton Avenue Syracuse NY 13205 Dietary Contact Services 240357 5 0 Skilled Nursing Services and elder care to residents 623000 18587807 18587807 0 0 0 0 0 0 18587807 0 0 0 0 31113 31113 0 0 31113 18618920 18618920 0 0 0 0 0 0 0 0 0 0 138221 0 138221 0 0 0 0 0 6924322 6730738 193584 0 309744 263437 46307 0 1731398 1650056 81342 0 533019 507977 25042 0 518790 0 518790 0 34195 0 34195 0 66725 0 66725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45364 0 45364 0 0 0 0 0 0 0 0 0 1949848 1949848 0 0 0 0 0 0 0 0 6097 2790 3307 0 180087 180087 0 0 0 0 0 0 93048 93048 0 0 106885 0 106885 0 NYS Assessment 781334 781334 0 0 Bad Debt 439114 439114 0 0 Medical Supplies 748722 748722 0 0 All other expenses 3594196 3340945 253251 0 167737 66626 101111 0 18368846 16754722 1614124 0 87530 514214 1837508 3088907 71386 178938 231511 74878 113422 156633 4925942 3432245 7035788 7370937 2407536 6326777 8458715 4592392 10866251 10919169 X -3830463 -3548232 0 0 0 0 -3830463 -3548232 7035788 7370937 X 250074 0 0 0 0 32157 X 0 1 X 1 0 X Schedule A, Part I, Line 3 Schedule A, Part I, Line 3 - This box has been checked because the IRS Determination letter, issued October 1968, classified Plaza Nursing Home as a hospital under section 170(b)(1)(A)(iii). The organization is actually a nursing home and not a hospital. 0 0 0 0 0 0 0 0 0 0 0 231511 0 74878 156633 0 0 0 0 156633 Resident Funds held in trust 4175 Funds held by Mandorla Gardens net of CP 605143 Other long-term receivables 1042596 Prepaid Rent 1780331 3432245 0 Resident Funds held in trust 4175 Accrued Pension 123096 Notes Payable 3100000 Estimated Third Party Payor 322525 Long term liabilities 1042596 4592392 18587807 0 0 0 0 0 18587807 0 31113 31113 18618920 18368846 0 0 0 0 0 18368846 0 0 0 18368846 Schedule D, Part XI, Line 4b Schedule D, Part XI, Line 4b - Miscellaneous Income X X X 0 0 0 0 0 0 0 0 0 Tara Zgoda President 149836 0 0 0 0 0 0 0 404 0 150240 0 0 0 Form 990, Part VI, Section A, Line 6 Form 990, Part VI, Section A, Line 6 - Form 990, Part VI, Section A, Line 6 - Plaza Corporation of Central New York is the member of Plaza Nursing Home Inc. Form 990, Part VI, Section A, Line 7a Form 990, Part VI, Section A, Line 7a - Form 990, Part VI, Section A, Line 7a - The Organization's Board of Directors meets quarterly. They elect the members of the governing body. Form 990, Part VI, Section A, Line 7b Form 990, Part VI, Section A, Line 7b - 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 Form 990, Part VI, Section B, Line 11b - 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 990 is provided to the Board of Directors for review. Form 990, Part VI, Section B, Line 12c Form 990, Part VI, Section B, Line 12c - 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 Form 990, Part VI, Section B, Line 15 - 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 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 301 Prospect Ave Syracuse NY 13209 Holding Company NY 501(c)3 3 N/A 0 Enriched Resources for Independent Elderly 1207 Almond Street Syracuse NY 13209 Enriched Living NY 501(c)3 3 N/A 0 Plaza Foundation of Central New York 301 Prospect Ave Syracuse NY 13209 Foundation NY 501(c)3 3 N/A 0 Iroquois Nuring Home 4600 Southwood Heights Drive Jamesville NY 13078 Nursing Home NY 501(c)3 3 N/A 0 Mandorla Gardens Housing Develepment Fund Co Inc 700 East Brighton Ave Syracuse NY 13205 Real Estate Holding NY 501(c)3 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 Iroquois Nuring Home a-i 117490 Promissory Note with fixed interest rate Iroquois Nuring Home o 480000 Management Fee On extension