2012-08-15T08:17:41-05:00 2011-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2011-01-01 161364582 IROQUOIS NURSING HOME INC IROQ 3154691300 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 SONYA MOSHIER 3154644368 2012-08-14 1 JOSEPH J SCHLEGEL P00301329 3154463600 2011 2016-02-24 21:20:13Z SONYA MOSHIER 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 15955534 0 X IROQUOISNURSING.COM X 1990 NY 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. 12 12 303 0 0 0 6475 14862 14448294 15076476 203400 73920 59036 37584 14717205 15202842 0 0 0 0 7636500 7704722 0 0 0 5672401 5439365 13308901 13144087 1408304 2058755 13870504 15862481 1540869 1472762 12329635 14389719 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. 0 0 11920133 15121412 SKILLED NURSING SERVICES AND ELDER CARE TO RESIDENTS. 11920133 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 0 1 0 0 303 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 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 VICKI COLE 0.50 X X 0 0 0 KIMBERLY BOYNTON 0.50 X 0 0 0 ANITA ANDERSON 0.50 X X 0 0 0 PATRICK O'CONNOR 0.50 X X 0 0 0 ELIZABETH O'CONNOR 0.50 X 0 0 0 JOHN BERGEMANN 0.50 X 0 0 0 MARY LUZIANI 0.50 X 0 0 0 DIANA FARNETI 0.50 X 0 0 0 ALBERT HALSTEAD 0.50 X 0 0 0 LISA KUSTYN 0.50 X X 0 0 0 LYNETTE PITTINGER 0.50 X 0 0 0 JENNIFER CAREY 0.50 X 0 0 0 SONYA MOSHIER 40.00 X 146617 0 6159 PENNY HEFFERON 40.00 X 86350 0 12414 232967 0 18573 1 0 1 0 SELECT REHABILITATION SERVICES 35338 EAGLE WAY CHICAGO IL 60678 REHABILITATION SERVICES 1048749 NURSECORE PO BOX 201925 ARLINGTON TX 76006 NURSING PLACEMENT/TEMP AGENCY 284168 2 14862 14862 MEDICAID 623000 6786980 6786980 MEDICARE 623000 5139758 5139758 PRIVATE PAYORS 623000 3129038 3129038 MEDICATION REEMBURSEME 623000 20700 20700 15076476 81684 81684 744928 752692 -7764 -7764 -7764 OTHER REVENUE 623000 37584 37584 37584 15202842 15114060 0 73920 251540 251540 5718675 5329350 389325 72122 68977 3145 1029712 934283 95429 632673 566522 66151 66624 66624 55692 55692 7412 7412 397706 397706 5456 3034 2422 9731 3622 6109 432146 432146 87678 87678 PURCHASED SERVICES 2256290 2070016 186274 SUPPLIES 1079373 1067326 12047 MEDICAID CASH ASSESSMEN 586322 586322 BAD DEBT 286193 286193 168742 86958 81784 13144087 11920133 1223954 0 6314761 2025058 2451727 2711796 50545 66025 207376 272724 13526627 10706033 2833124 2820594 1964943 7915803 48028 50481 13870504 15862481 1504611 1430492 36258 42270 1540869 1472762 X 12283418 14340145 46217 49574 12329635 14389719 13870504 15862481 X 2058755 1329 X 0 1 1 X 0 X 56013 10880 7749 18275 14862 107779 13684092 14329711 14967608 14495530 14507330 71984271 13740105 14340591 14975357 14513805 14522192 72092050 0 0 0 72092050 13740105 14340591 14975357 14513805 14522192 72092050 1.00000 1.00000 0.00000 X 46217 7510 8 4161 49574 46014 4998 7 4802 46217 58476 7749 110 20321 46014 70540 10880 591 23535 58476 1.00000 0 0 232637 232637 10276525 8459145 1817380 2932716 2246888 685828 84749 84749 2820594 U.S. TREASURY AND GOVERNMENT AGENCY OBLIGATIONS 1018489 F MUTUAL FUNDS 6247356 F EXCHANGE TRADED FUNDS 649958 F 7915803 RESIDENT FUNDS HELD IN TRUST 42270 42270 15202842 13144087 2058755 1329 1329 2060084 15202842 0 15202842 0 15202842 13144087 0 13144087 0 13144087 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: USED FOR FACILITY OPERATION, RENOVATION AND IMPROVEMENTS DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IROQUOIS IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2011 AND 2010, IROQUOIS DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2008 THROUGH 2011. X X 0 0 0 0 0 0 0 0 0 SONYA MOSHIER 146617 0 0 0 0 0 0 0 6159 0 152776 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 PLAZA CORPORATION OF CENTRAL NEW YORK IS THE MEMBER OF IROQUOIS NURSING HOME, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A BOARD OF DIRECTORS THAT MEET QUARTERLY. THEY ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS MEET QUARTERLY AND THEY EACH HAVE A VOTE ON ISSUES REGARDING NEW MEMBERS AND OTHER BUSINESS RELATED ACTIONS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE 990 IS PROVIDED TO THE ORGANIZATION'S FINANCE COMMITTEE TO BE REVIEWED WITH MANAGEMENT, AND THEN A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATIONS BY-LAWS REQUIRE THE BOARD OF DIRECTORS TO DETERMINE COMPENSATION FOR THE ADMINISTRATOR, THE ONLY COMPENSATED EXECUTIVE. THE FINANCE COMMITTEE ANNUALLY REVIEWS THE ADMINISTRATOR'S PERFORMANCE AND SALARY. THEY ALSO DO A COMPARATIVE ANALYSIS WITH LOCAL NURSING HOME ADMINISTRATOR SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,329. PLAZA CORPORATION OF CENTRAL NEW YORK 614 SOUTH CROUSE AVENUE SYRACUSE NY 13210 222800840 NURSING HOME SERVICES NY 501(C)(3) 11(A)-1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0