2013-08-13T10:54:54-07:00 2012-12-31 990 2012-01-01 161364582 IROQUOIS NURSING HOME INC IROQ 3154691300 4600 Southwood Heights Drive Jamesville NY 13078 Sonya Moshier 3154691300 2013-08-12 2012 2016-02-24 21:20:13Z SONYA MOSHIER 4600 Southwood Heights Drive Jamesville NY 13078 15441742 0 X IROQUOISNURSING.COM X 1990 NY IROQUOIS NURSING HOME, INC. OPERATES A 160 BED SKILLED NURSING FACILITY, PROVIDING NURSING HOME ACCOMMODATIONS FOR THE SICK, INVALID, INFIRMED AND DISABLED OF THE CENTRAL NEW YORK COMMUNITY 9 9 313 25 0 0 14862 8682 15076476 14825983 73920 302309 37584 75158 15202842 15212132 0 0 0 0 7704722 8065752 0 0 0 5439365 5741449 13144087 13807201 2058755 1404931 15862481 17888562 1472762 1626400 14389719 16262162 IROQUOIS NURSING HOME, INC. OPERATES A 160 BED SKILLED NURSING FACILITY PROVIDING NURSING HOME ACCOMODATIONS FOR THE SICK, INVALID, INFIRMED AND DISABLED OF THE CENTRAL NEW YORK COMMUNITY. 0 0 12491440 14825983 SKILLED NURSING SERVICES AND ELDER CARE TO RESIDENTS 0 0 0 12491440 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 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 0 0 313 1 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SONYA MOSHIER 3154691300 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 MARK MURPHY 0.50 X X 0 0 0 KIMBERLY BOYNTON 0.5 X X 0 0 0 ANITA ANDERSON 0.5 X X 0 0 0 JOHN BERGEMANN 0.5 X X 0 0 0 DOROTHY HAGG 0.5 X X 0 0 0 STEVE INFANTI 0.5 X X 0 0 0 MITCHELL LEBOWITZ MD 0.5 X X 0 0 0 CHRISTINA BOND 0.5 X X 0 0 0 SONYA MOSHIER 40 X 150676 0 10870 PENNY HEFFERON 40 X 77619 0 8904 228295 0 19774 1 0 1 0 SELECT REHABILITATION SERVICES 35338 EAGLE WAY CHICAGO IL 60678 REHABILITATION SERVICES 1025583 NURSECORE PO BOX 201925 ARLINGTON TX 76006 NURSING PLACEMENT/TEMP AGENCY 333972 2 0 0 0 0 0 8682 0 8682 MEDICAID 623000 6066747 6066747 0 0 MEDICARE 623000 4495896 4495896 0 0 PRIVATE PAYORS 623000 4246040 4246040 0 0 MEDICATION REIMBURSEMENT 623000 17300 17300 0 0 0 0 0 0 14825983 227444 0 0 227444 0 0 0 0 0 0 0 0 0 0 248161 56314 229610 0 18551 56314 74865 0 0 74865 0 75158 75158 0 0 75158 15212132 14901141 0 302309 0 0 0 0 0 0 0 0 248069 248069 0 5934261 5537789 396472 86027 77058 8969 1059876 949378 110498 737519 660629 76890 83217 83217 52659 52659 8038 8038 296879 296879 4380 2493 1887 7157 5540 1617 401686 401686 89150 89150 PURCHASED SERVICES 2337964 2229762 108202 SUPPLIES 1139163 1119755 19408 0 MEDICAID CASH ASSESSMENT 628442 628442 0 0 BAD DEBT 403899 403899 0 0 288815 88980 199835 13807201 12491440 1315761 0 2025058 2335582 2711796 2812247 16859 66025 54451 272724 394623 14412839 11077148 2820594 3335691 7915803 8899727 50481 39382 15862481 17888562 1430492 1587018 42270 39382 1472762 1626400 X 14340145 16210204 49574 51958 0 0 14389719 16262162 15862481 17888562 1404931 467512 0 0 0 0 X 0 1 X 1 0 X 10880 7749 18275 14862 8682 60448 14329711 14967608 14495530 15076476 14825983 73695308 0 14340591 14975357 14513805 15091338 14834665 73755756 73755756 73920 302309 376229 0 0 0 73920 302309 376229 37584 75158 112742 14340591 14975357 14513805 15202842 15212132 74244727 0.99341 1 0.00507 0 X OTHER NON-OPERATING REVENUE. 49574 4957 7 0 2580 0 51958 46217 7510 8 0 4161 0 49574 46014 4998 7 0 4802 0 46217 58476 7749 110 0 20321 0 46014 70540 10880 591 0 23535 0 58476 0 0 1 0 0 232637 932956 1165593 10041941 1900 8693125 1350716 0 0 0 0 3203405 0 2384023 819382 0 0 0 0 3335691 U.S. GOVERNMENT AND AGENCY OBLIGATIONS 1543512 F MUTUAL FUNDS 4893068 F EXCHANGE TRADED FUNDS 2188140 F Cash equivalents 275007 F 8899727 FEDERAL INCOME TAXES 0 RESIDENT FUNDS HELD IN TRUST 39382 39382 X 15212132 0 0 0 0 0 15212132 0 0 0 15212132 13807201 0 0 0 0 0 13807201 0 0 0 13807201 SchD_P05_S00_L04 Schedule D, Part V, Line 4 USED FOR FACILITY OPERATION, RENOVATION AND IMPROVEMENTS SchD_P10_S00_L02 Schedule D, Part X, Line 2 RESIDENT FUNDS HELD IN TRUST. X X 0 0 0 0 0 0 0 0 0 SONYA MOSHIER 150676 0 0 0 0 0 10870 0 0 0 161546 0 0 0 F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 PLAZA CORPORATION OF CENTRAL NEW YORK IS THE MEMBER OF IROQUOIS NURSING HOME, INC. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a THE ORGANIZATION'S BOARD OF DIRECTORS MEET QUARTERLY. THEY ELECT THE MEMBERS OF THE GOVERNING BODY. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b THE BOARD OF DIRECTORS MEET QUARTERLY. THEY DISCUSS AND VOTE ON ISSUES REGARDING NEW MEMBERS AND OTHER BUSINESS RELATED ACTIONS. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE TO BE REVIEWED WITH MANAGEMENT AND THEN A COPY IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE SUBMISSION. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY THE BOARD OF DIRECTORS MEMBERS. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 THE BOARD OF DIRECTORS DETERMINE COMPENSATIONS FOR THE ADMINISTRATOR AND THE CFO. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PLAZA CORPORATION OF CENTRAL NEW YORK 614 SOUTH CROUSE AVENUE SYRACUSE NY 13210 222800840 NURSING HOME SERVICES NY 501(C)(3) 11(A)-1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0