2023-11-10T12:29:14-08:00 2022-12-31 371188139 JM Abbott & Associates Ltd 207 S McLean St Lincoln IL 62656 990 2022-01-01 263430115 ST CLARAS MANOR INC STCL 2177351507 1450 CASTLE MANOR DR LINCOLN IL 62656 DR PAUL KASA President 2023-11-09 true DR PAUL KASA 999009999 true Clayton GeorgeCPA P00052565 2177351576 2 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z DR PAUL KASA 1450 CASTLE MANOR DR LINCOLN IL 62656 10225047 false X WWW.HERITAGEOFCARE.COM/LINCOLN X 2008 IL NURSING HOME 6 6 171 25 0 2422999 2044118 6766882 8178238 1726 752 1196 1939 9192803 10225047 0 0 3662286 4589983 0 5206 5031337 5220639 8693623 9810622 499180 414425 2010874 986308 3619436 2168936 -1608562 -1182628 NURSING HOME false false 8044933 OPERATES NURSING HOME - 102 BEDS DURING 2022, 33,789 PATIENT DAYS OF SERVICE PROVIDED 8044933 true true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false true 32 0 true 171 true false false false false false false false 0 false false false false false false false X 6 6 false true false false false false false true true false false false true true true true true true true false IL X HERITAGE OPERATIONS GROUP LLC 3098284361 115 W JEFFERSON SUITE 401 BLOOMINGTON IL 617023188 X DENNIS CARROLL MEMBER 1.00 0.00 X X 0 0 0 TONI REIFSTECK MEMBER 1.00 0.00 X X 0 0 0 CONNIE DEHNER MEMBER 1.00 0.00 X 0 0 0 PHIL DEHNER MEMBER 1.00 0.00 X 0 0 0 ELLEN BURBAGE Secretary 1.00 0.00 X 0 0 0 DR PAUL KASA President 1.00 0.00 X 0 0 0 0 false false false HERITAGE OPERATIONS GROUP LLC 115 W JEFFERSON SUITE 401 BLOOMINGTON IL 61702 MANAGEMENT 277664 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SVCS 389580 SHIFTKEY LLC 5221 N OCONNOR BLVD IRVING TX 75039 STAFFING 1081585 ESP PERSONNEL 72030 METROPLEX DR THOUSAND PALMS CA 92276 STAFFING 159443 WARD & ASSOCIATES HEALTH SERVICES PO BOX 1464 AUROA IL 60507 STAFFING 203443 221266 765820 417672 860626 2044118 Fees & Contracts Gov Agencies 623000 4898289 4898289 NURSING HOME OPERATIONS 623000 3279949 3279949 8178238 752 752 0 0 0 0 0 0 0 ACTIVITY FUND, VEND & MIS 721000 1939 1939 1939 10225047 8180177 752 0 0 0 0 0 0 3880600 3598271 279974 2355 21270 20231 1026 13 368678 216967 151486 225 319435 297159 21994 282 402211 402211 22958 22958 15871 15871 0 0 0 352127 151535 198312 2280 21628 21628 4283 4283 138639 46777 91862 0 867425 847526 19899 5764 5764 0 392 269 123 0 0 0 210187 203196 6940 51 CONTRACTUAL SERVICES 1237632 1237632 SUPPLIES 480585 480585 PHYSICAL/OCCUPATIONAL THERAPY 412746 412746 LICENSES & FEES 357289 357289 690902 532039 158863 9810622 8044933 1760483 5206 250 250 469879 380340 0 509447 500881 0 0 0 96682 45978 17327 17143 0 0 0 0 0 917289 41716 2010874 986308 2675531 1254877 943905 914059 3619436 2168936 X -1608562 -1182628 -1608562 -1182628 2010874 986308 414425 11509 X false true X false false X 7190 1742 474129 2422999 1193662 4099722 5735586 6908037 6914964 6766882 8178238 34503707 0 0 0 5742776 6909779 7389093 9189881 9371900 38603429 0 0 38603429 2742 4989 3336 1726 752 13545 0 2742 4989 3336 1726 752 13545 0 2309 2414 1646 1196 1939 9504 5747827 6917182 7394075 9192803 9374591 38626478 0.99940 0.99900 0.00040 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED DHHS PENALTIES 81259 DUE TO ST. CLARA'S SENIOR SERVICES 832800 914059 X Part X : FIN48 Footnote NOTE F TO THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: THE NURSING HOME IS CHARTERED AS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE NURSING HOME IS REQUIRED TO FILE FEDERAL AND STATE INFORMATIONAL RETURNS. WITH LIMITED EXCEPTIONS, THE NURSING HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2019 FOR FEDERAL AND STATE PURPOSES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL OTHER INCOME TAX POSITIONS TAKEN ON ALL OPEN INFORMATIONAL RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX PROVISIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS. Form 990, Part VI, Section A, Line 3 HERITAGE OPERATIONS GROUP, LLC INDEPENDENTLY MANAGES ST. CLARA'S FOR A MANAGEMENT FEE. THIS INCLUDES EMPLOYING THE DIRECTOR; PAYING PAYROLL AND BILLS; INVOICING RESIDENTS, ETC. Form 990, Part VI, Section B, Line 11b MANAGEMENT REVIEWS THE 990. THE BOARD REVIEWS AND APPROVES THE AUDIT FROM WHICH THE 990 WAS PREPARED. Form 990, Part VI, Section B, Line 12c IF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER WILL ABSTAIN FROM DISCUSSION/VOTING ON THE AFFECTED ISSUE. Form 990, Part VI, Section B, Line 15a BOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION. Form 990, Part VI, Section B, Line 15b BOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION. Form 990, Part VI, Section C, Line 19 THE DOCUMENTS ARE HELD IN THE NURSING HOME BUSINESS OFFICE, WHICH IS OPEN DURING NORMAL BUSINESS HOURS. PAGE 1, LINE 5, NUMBER OF EMPLOYEES AND PART V, LINE 2A ST. CLARA'S SENIOR SERVICES, INC., A SUPPORTING ORGANIZATION, IS THE EMPLOYER OF ALL EMPLOYEES OF ST. CLARA'S MANOR, INC AND FILES ALL RELATED PAYROLL FORMS. ST. CLARA'S MANOR, INC. REIMBURSES ST. CLARA'S SENIOR SERVICES, INC. FOR ALL EMPLOYEE COSTS. ST CLARAS SENIOR SERVICES INC 200 FIFTH STREET LINCOLN IL 62656 376075710 SUPPORTING ORGANIZATION IL 501(C)(3) TYPE III N/A false false false true true true false false false false false true false false false false true false false true ST CLARAS SENIOR SERVICES INC c 765820 PPP LOAN TRANSF ST CLARAS SENIOR SERVICES INC d 12328105 AMT GUARANTEED ST CLARAS SENIOR SERVICES INC e 832800 AMT LOANED ST CLARAS SENIOR SERVICES INC k 680730 LESS THAN FMV ST CLARAS SENIOR SERVICES INC p 4589984 COST OF PAYROLL ST CLARAS SENIOR SERVICES INC s 102153 CY FUNDS BORROW