2022-11-16T07:45:00-08:00 2021-12-31 371188139 JM Abbott & Associates Ltd 207 S McLean St Lincoln IL 62656 990 2021-01-01 263430115 ST CLARAS MANOR INC STCL 2177351507 1450 CASTLE MANOR DR LINCOLN IL 62656 DR PAUL KASA President 2022-11-16 true DR PAUL KASA 999009999 Clayton GeorgeCPA P00052565 2177351576 2 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z DON PEASLEY 1450 CASTLE MANOR DR LINCOLN IL 62656 9192803 false X WWW.HERITAGEOFCARE.COM/LINCOLN X 2008 IL NURSING HOME 7 7 148 25 0 474132 2422999 6914962 6766882 3335 1726 1646 1196 7394075 9192803 250 0 0 4536000 3662286 0 4832 3382133 5031337 7918383 8693623 -524308 499180 1444116 2010874 3621858 3619436 -2177742 -1608562 NURSING HOME false false 7713647 OPERATES NURSING HOME - 100 BEDS DURING 2021, 29,942 PATIENT DAYS OF SERVICE PROVIDED 7713647 true true false false false false false false false false false false false true true true 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 false true false false false true 38 0 true 148 true false false false false false false false 0 false false false false false false false X 7 7 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 DON PEASLEY Vice President 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 387602 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 606941985 THERAPY SVCS 567859 SHIFTKEY LLC 5221 N OCONNOR BLVD IRVING TX 75039 857026 ESP PERSONNEL 72030 METROPLEX DR THOUSAND PALMS CA 92276 286842 BRIGHTSTAR CARE OF SPRINGFIELD 801 S MACARTHUR BLVD SPRINGFIELD IL 62704 230834 5 820411 1602588 765820 2422999 Fees & Contracts Gov Agencies 623000 4082382 4082382 NURSING HOME OPERATIONS 623000 2684500 2684500 6766882 1726 1726 0 0 0 0 0 0 0 ACTIVITY FUND, VEND & MIS 721000 1196 1196 1196 9192803 6768078 1726 0 0 0 0 0 0 2899790 2712020 185176 2594 22742 21268 1454 20 503600 470990 32159 451 236154 228385 7665 104 337727 337727 8113 8113 10258 10258 0 0 0 212720 90381 120775 1564 43007 43007 8169 8169 158903 67400 91503 0 811818 793195 18623 3550 3550 0 1540 1211 329 0 0 0 217461 207857 9505 99 CONTRACTUAL SERVICES 1698587 1698587 SUPPLIES 489984 489984 PHYSICAL/OCCUPATIONAL THERAPY 487142 487142 FOOD 226472 226472 315886 218755 97131 8693623 7713647 975144 4832 250 250 540172 469879 0 811209 509447 0 0 0 72810 96682 19675 17327 0 0 0 0 0 917289 1444116 2010874 2288121 2675531 1333737 943905 3621858 3619436 X -2177742 -1608562 -2177742 -1608562 1444116 2010874 499180 70000 X false true X false false X 4915 7190 1742 474129 2422999 2910975 5509547 5735586 6908037 6914964 6766882 31835016 0 0 0 5514462 5742776 6909779 7389093 9189881 34745991 0 0 34745991 13960 2742 4989 3336 1726 26753 0 13960 2742 4989 3336 1726 26753 0 499 2309 2414 1646 1196 8064 5528921 5747827 6917182 7394075 9192803 34780808 0.99900 0.99890 0.00080 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GIFT TRANSFERRED IN 900000 INSURANCE COMPANY 17289 917289 DEFERRED GRANT REVENUE 202487 DUE TO ST. CLARA'S SENIOR SERVICES 730647 REFUNDABLE ADVANCES 10771 943905 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 2016 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. X 1 765820 AUCTION false false false Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company 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, Line 11b: Form 990 Review Process MANAGEMENT REVIEWS THE 990. THE BOARD REVIEWS AND APPROVES THE AUDIT FROM WHICH THE 990 WAS PREPARED. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts IF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER WILL ABSTAIN FROM DISCUSSION/VOTING ON THE AFFECTED ISSUE. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management BOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees BOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available 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 13623673 AMT GUARANTEED ST CLARAS SENIOR SERVICES INC e 730647 AMT LOANED ST CLARAS SENIOR SERVICES INC k 680730 LESS THAN FMV ST CLARAS SENIOR SERVICES INC p 3135943 COST OF PAYROLL ST CLARAS SENIOR SERVICES INC s 34744 CY FUNDS BORROW