2012-10-02T10:17:40-07:00 2011-12-31 990 2011-01-01 150539103 JEWISH HOME OF CENTRAL NEW YORK INC JEWI 3154469111 4101 E GENESEE STREET SYRACUSE NY 13214 Richard Baniewicz 3154469111 2012-10-02 2011 2016-02-24 21:20:13Z MaryEllenBloodgood 4101 E Genesee Street Syracuse NY 13214 14519468 0 X menorahparkcny.com X 1937 NY Provide skilled nursing, home care services,adult day care 14 14 318 14 0 0 104466 195274 14616869 14323617 270 577 0 14721605 14519468 0 0 9342472 9380373 0 0 5459895 5933367 14802367 15313740 -80762 -794272 17965325 16233564 18009214 18273413 -43889 -2039849 Provided 46,240 patient days of skilled nursing home services,6,696 adult day care visits and 8,765 home health care visits. 0 0 14251359 0 14323617 Provided 46,240 patient days of skilled nursing home services,6,696 adult day care visits and 8,765 home health care visits. 0 0 0 14251359 1 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 318 1 0 0 0 0 0 0 X 14 14 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 CEO 3154469111 4101 E Genesee Street Syracuse NY 13214 X Michael Balanoff 1 X 0 0 0 Neil Bronstein 1 X 0 0 0 Andy Fox 1 X 0 0 0 Joseph Greenman 1 X 0 0 0 Jon Maloff 1 X 0 0 0 Phil Rubenstein 1 X 0 0 0 Steven Sisskind 1 X 0 0 0 John Sonne 1 X 0 0 0 Barry Weiss 1 X 0 0 0 Gary Zausmer 1 X 0 0 0 Jeffry Berman 1 X 0 0 0 Phylis LaVine 1 X 0 0 0 Howard Port 1 X 0 0 0 Jeffrey Scheer 1 X 0 0 0 Mary Ellen Bloodgood 40 X 205637 0 0 Richard Baniewicz 40 X 57218 0 0 262855 0 0 1 0 1 0 Sodexo PO Box 360170 Pittsburgh PA 15251 Dietary Services 669825 National Grid 300 Erie Blvd West Syracuse NY 13202 Electric and Gas 426775 Excellus BC BS 333 Butternut Drive Syracuse NY 13203 Employee health insurance 164104 Health Direct PO Box 62246 Baltimore MD 21264 Pharmacy services 128949 SEIU Benefits and pension 731 James Street Syracuse NY 13203 union employee benefits 1176265 7 0 0 0 0 0 195274 0 195274 Resident Services 623000 13867616 13867616 0 0 Rental Income 623990 464507 464507 0 0 Other 623990 -8506 -8506 0 0 0 0 0 0 14323617 577 577 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14519468 14324194 0 0 262855 262855 6795356 6624409 170947 233689 233689 0 1560821 1497013 63808 527652 496753 30899 53522 0 53522 163560 0 163560 4639 4639 0 122808 31182 91626 2258899 2244434 14465 22422 16419 6003 222446 222446 0 807116 807116 0 165075 165075 0 Purchased/Contract Services 1376607 1201575 175032 Bad Debts 43458 43458 0 Medical Supplies/Supplies 692815 663151 29664 15313740 14251359 1062381 0 388315 36315 1995678 1677714 11440 21842 21842 50002 59170 22654030 13712732 9592836 8941298 5905212 5497225 17965325 16233564 2437254 3240666 13629910 13389492 1942050 1643255 18009214 18273413 X -1128600 -3171028 186576 233044 898135 898135 -43889 -2039849 17965325 16233564 X -794272 -1201688 X 0 1 1 X 0 X 0 0 646437 104466 195274 946177 13312274 14072065 13776391 14616869 14323617 70101216 13312274 14072065 14422828 14721335 14518891 71047393 71047393 477879 -305807 95696 270 577 268615 477879 -305807 95696 270 577 268615 30675 27788 0 0 58463 13820828 13794046 14518524 14721605 14519468 71374471 0.99542 0.9889 0.00376 0.004 X Exempt function services RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1073272 0 57908 0 0 0 1131180 1218097 0 -144825 0 0 0 1073272 1801301 0 -583204 0 0 0 1218097 1913597 0 -112296 0 0 0 1801301 0 0.5 0.5 0 1 0 0 1029868 1029868 0 19369504 12102379 7267125 0 0 0 0 0 2251733 1610353 641380 0 2925 0 2925 8941298 Due from affiliates 99130 Resident funds 35026 Assets limited as to use 3188846 Beneficial interest in net Assets of Foundation 1131180 Deferred financing costs 727476 Deferred third party reimbursement 152732 Other Receivables 162835 5497225 0 Estimated third party payor settlements 1112687 Notes payable to affiliate 495542 Resident funds 35026 1643255 14519468 15313740 -794272 0 0 0 0 -1248156 -1248156 -2042428 14519468 0 0 0 0 0 14519468 0 0 0 14519468 15313740 0 0 0 0 0 15313740 0 0 0 15313740 SchD_P05_S00_L04 Schedule D, Part V, Line 4 To support the mission of the Jewish home of CNY programs SchD_P11_S00_L08 Schedule D, Part XI, Line 8 Contributions for property and equipment $13,535,Net assets released from restrictions used for purchase of capital equipment $11,440, Equity transfer to affiliate -$1,273,131 X X 0 0 0 0 0 0 0 0 0 Mary Ellen Bloodgood 205637 0 0 0 0 0 0 0 0 0 205637 0 199549 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form 990 is reviewed by members of the finance committee before submission F990_P06_S0B_L12c 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 F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation of the CEO is reviewed by the board every three years and a contract is signed F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The governing documents,conflict of interest and financial statements are available to the public upon request. F990_P11_S00_L05 Form 990, Part XI, Line 5 Equity transfer to affiliate -$1,273,131 Change in beneficial interest in net assets of foundation $57,908,Contributions for equipment $13,535