2011-08-10T13:36:09-05:00 2010-12-31 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2010-01-01 161364582 IROQUOIS NURSING HOME INC IROQ 3154691300 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 SONYA MOSHIER 3154644368 2011-08-10 1 JOSEPH J SCHLEGEL 3154463600 2010 2016-02-24 21:20:13Z SONYA MOSHIER 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 18549756 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 12 345 0 0 0 7749 6475 14937239 14448294 258282 203400 30369 59036 15233639 14717205 0 0 0 0 7299189 7636500 0 0 0 5993114 5672401 13292303 13308901 1941336 1408304 19570153 13870504 8627782 1540869 10942371 12329635 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 12079042 14524213 SKILLED NURSING SERVICES AND ELDER CARE TO RESIDENTS. 12079042 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 345 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 0 0 1 1 0 NY X SONYA MOSHIER 3154691300 4600 SOUTHWOOD HEIGHTS DRIVE JAMESVILLE NY 13078 ALBERT HALSTEAD 0.50 X 0 0 0 VICKI COLE 0.50 X X 0 0 0 LISA KUSTYN 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 LYNETTE PITTINGER 0.50 X 0 0 0 DIANA FARNETI 0.50 X 0 0 0 JENNIFER CAREY 0.50 X 0 0 0 SONYA MOSHIER 40.00 X 135695 0 0 PENNY HEFFERON 40.00 X 14656 0 0 MATT DUNN 40.00 X 31505 0 0 181856 0 0 1 0 0 0 SELECT REHABILITATION SERVICES 35338 EAGLE WAY CHICAGO IL 60678 REHABILITATION SERVICES 1185519 NURSECORE PO BOX 201925 ARLINGTON TX 76006 NURSING PLACEMENT/TEMP AGENCY 512630 2 6475 6475 MEDICAID 623000 6223924 6223924 MEDICARE 623000 4998953 4998953 PRIVATE PAYORS 623000 3213617 3213617 MEDICATION REEMBURSEME 623000 11800 11800 14448294 64024 64024 3956425 15502 3832551 123874 15502 139376 139376 OTHER REVENUE 623000 59036 59036 59036 14717205 14507330 0 203400 181856 181856 5764356 5343439 420917 74125 66611 7514 953924 857224 96700 662239 595107 67132 35131 35131 46640 46640 46276 17578 28698 467892 467892 10273 4004 6269 6510 3680 2830 112427 112427 416920 416920 117779 117779 PURCHASED SERVICES 2570439 2378065 192374 SUPPLIES 1082301 998254 84047 MEDICAID CASH ASSESSMEN 531900 531900 BAD DEBT 126850 126850 TELEPHONE 36304 36304 64759 5008 59751 13308901 12079042 1229859 0 8028727 6314761 1993772 2451727 44849 50545 211188 207376 13125683 10292559 3074742 2833124 5826363 1964943 390512 48028 19570153 13870504 1095325 1504611 7504468 27989 36258 8627782 1540869 X 10896357 12283418 46014 46217 10942371 12329635 19570153 13870504 X 1408304 -21039 X X 0 1 1 X 0 X 56013 10880 7749 18275 92917 13684092 14329711 14967608 14495530 57476941 13740105 14340591 14975357 14513805 57569858 0 0 0 57569858 13740105 14340591 14975357 14513805 57569858 1.00000 0.00000 X 46014 4998 7 4802 46217 58476 7749 110 20321 46014 70540 10880 591 23535 58476 1.00000 0 0 232637 232637 10116865 8179146 1937719 2776181 2113413 662768 2833124 U.S. TREASURY AND GOVERNMENT AGENCY OBLIGATIONS 1261146 F MUTUAL FUNDS 703797 F 1964943 RESIDENT FUNDS HELD IN TRUST 36258 36258 14717205 13308901 1408304 -21039 -21039 1387265 14717205 0 14717205 0 14717205 13308902 0 13308902 0 13308902 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, 2010 AND 2009, 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 2007 THROUGH 2010. X X 0 0 0 0 0 0 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 LOSSES ON INVESTMENTS: -21,039. FORM 990, PART XI, LINE 2C THERE IS NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR. 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