2021-08-30T09:17:49-05:00 2020-12-31 371106622 Ginoli & Company LtdCPA's 7625 N University Ste A Peoria IL 616148303 990 2020-01-01 431710785 SJL HEALTH SYSTEMS INC SJLH 3096918113 830 W TRAILCREEK DR PEORIA IL 616141862 BECKY STOKES TREASURER 3096918113 2021-08-26 1 BECKY STOKES 999009999 MICHAEL REMMELECPA P00444163 3096712350 2021-08-26 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BECKY STOKES 830 W TRAILCREEK DR PEORIA IL 61614 3751863 0 X N/A X 2000 IL OPERATION OF A SKILLED NURSING CENTER 3 3 102 0 0 0 0 0 3330021 3582303 117 77 0 169483 3330138 3751863 0 0 0 0 1536587 1354677 0 0 0 1734872 2486156 3271459 3840833 58679 -88970 3094708 2684319 5614086 5292667 -2519378 -2608348 TO PROVIDE CARE FOR THE ELDERLY. 0 0 3114727 3751863 OPERATION OF A SKILLED NURSING CENTER 3114727 1 0 0 0 0 0 0 0 0 0 1 0 0 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 0 0 0 0 0 0 1 11 0 102 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 IL X MARK B PETERSEN 3096918113 830 W TRAILCREEK DR PEORIA IL 61614 X MICHAEL KUHL PRESIDENT 1.00 X 0 0 0 THOMAS HAMMERTON SECRETARY 1.00 X 0 0 0 BECKY STOKES TREASURER 1.00 X 0 0 0 0 0 0 0 0 0 0 REHABCARE GROUP INC CONTRACT THERAPY DIVISION PO BOX 50 ST LOUIS MO 631503534 THERAPY SERVICES 245987 1 PATIENT SERVICE 623000 3575942 3575942 RESIDENT SERVICES 623000 6361 6361 3582303 77 77 COVID related CARES AC 623000 169483 169483 169483 3751863 3751863 0 0 X 1254081 1173656 80425 100596 94145 6451 47143 47143 8765 8765 691 691 1459 1459 9814 9814 276 276 157043 157043 111879 111879 NURSING SERVICES 742714 742714 PURCHASED SERVICES 326075 326075 MANAGEMENT FEE 214000 214000 PROVIDER BED TAX 155602 155602 710695 353613 357082 3840833 3114727 726106 0 593674 220278 1419992 1363173 13727 13727 4643837 4064200 668811 579637 398504 507504 3094708 2684319 697026 1022594 2566589 2276696 2350471 1993377 5614086 5292667 X -2519378 -2608348 -2519378 -2608348 3094708 2684319 -88970 0 X 0 1 X 0 0 X 2726323 2835566 3138793 3330021 3751786 15782489 2726323 2835566 3138793 3330021 3751786 15782489 0 0 0 15782489 112 89 115 117 77 510 112 89 115 117 77 510 2726435 2835655 3138908 3330138 3751863 15782999 1.00000 0.99990 0.00000 0.00010 X 13500 13500 3369652 2813829 555823 1207112 1203037 4075 53573 47334 6239 579637 ASSETS LIMITED AS TO USE 478403 PREPAID EXPENSES 29101 507504 ACCRUED PAYROLL 176103 INTEREST PAYABLE 12857 DUE TO AFFILIATES 351000 OTHER LIABILITIES 29646 ACCRUED MANAGEMENT FEES 744606 CARES FUNDING 679165 1993377 3751863 0 3751863 0 3751863 3840833 0 3840833 0 3840833 Form 990, Part VI, Section A, line 3 Management company operates the nursing home facility. Form 990, Part VI, Section A, line 8a No official meetings were held and no written actions were needed by the governing body. Form 990, Part VI, Section A, line 8b There were no committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b A draft copy of the Form 990 along with a copy of the audited financial statements are given to management to review. These are compared and any changes, if any, that are needed will be done at their request. Form 990, Part VI, Section B, line 15 The top management official is the Administrator of the nursing home. They are compensated at the same level of various other nursing home admistrators with the same responsibilites. All key employee salaries are set at the comparable rates with other nursing homes. Form 990, Part VI, Section C, line 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. Form 990, Part IX, line 24e MISC. ADMIN. EXPENSES: Program service expenses 0. Management and general expenses 142,651. Fundraising expenses 0. Total expenses 142,651. FOOD: Program service expenses 135,434. Management and general expenses 0. Fundraising expenses 0. Total expenses 135,434. OPERATIONS & MAINTENANCE: Program service expenses 0. Management and general expenses 130,431. Fundraising expenses 0. Total expenses 130,431. SUPPLIES: Program service expenses 102,786. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,786. ADMINISTRATOR SALARY: Program service expenses 0. Management and general expenses 84,000. Fundraising expenses 0. Total expenses 84,000. PROPERTY & LIABILITY INSURANCE: Program service expenses 75,694. Management and general expenses 0. Fundraising expenses 0. Total expenses 75,694. WORKMEN'S COMPENSATION: Program service expenses 27,847. Management and general expenses 0. Fundraising expenses 0. Total expenses 27,847. EQUIPMENT RENTAL: Program service expenses 8,291. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,291. OTHER DIETARY: Program service expenses 3,561. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,561.