2020-11-24T10:14:18-06:00 2019-12-31 752795393 JTAYLOR & ASSOCIATES LLC 4800 OVERTON PLAZA SUITE 360 FORT WORTH TX 761094430 990 2019-01-01 273042331 PROGRESSIVE ELDERCARE SERVICES - CONWAY INC PROG 5013544647 12 HOSPITAL DRIVE MORRILTON AR 72110 DAVID MILLER PRESIDENT 5013544647 2020-11-24 1 HAYDEN GRAHM P01774656 8179245900 2019 2022-09-23 18:48:47Z RIVER CHASE REHABILITATION & CARE CENTER DAVID MILLER 12 HOSPITAL DRIVE MORRILTON AR 72110 4024365 0 X WWW.RIVERCHASEREHAB.COM X 2010 AR TO FACILITATE COMPASSIONATE HEALTH CARE WITH CLINICAL QUALITY AND SERVICE EXCELLENCE IN A DIGNIFIED AND RESPECTFUL "HOME" ENVIRONMENT FOR ELDERS WHO REQUIRE LONG-TERM CARE SERVICES. 4 3 0 5 0 0 0 0 4075193 4024365 0 0 0 0 4075193 4024365 0 0 0 0 1821526 1770489 0 0 0 2796823 2801463 4618349 4571952 -543156 -547587 816482 753444 1691140 2175683 -874658 -1422239 THE ORGANIZATION PROVIDES AFFORDABLE SKILLED NURSING AND REHABILITATIVE CARE TO ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS IN A NON-TRADITIONAL LONG-TERM CARE ENVIRONMENT UTILIZING THE "CULTURE CHANGE OR "PERSON-CENTERED" CARE MODEL. 0 0 4384071 4024365 THE ORGANIZATION ACTS IN CONCERT WITH PROGRESSIVE ELDERCARE SERVICES, INC. (PES, INC.) TO FORM A NETWORK OF NURSING FACILITIES TO SERVE AS LOCATIONS FOR PROMOTING, DEVELOPING AND ADMINISTERING "CULTURE CHANGE", PERSON-CENTERED, LONG-TERM CARE FOR ILL, INFIRM, MEDICALLY DISABLED AND ELDERLY INDIVIDUALS. THE "CULTURE CHANGE" MODEL OF CARE IS DESIGNED TO EMPOWER ELDERS AND STAFF TO PARTICIPATE IN THE ESTABLISHMENT OF PATHWAYS THAT RESULT IN A HIGH DEGREE OF CHOICE, AUTONOMY, DIGNITY AND SELF-DETERMINATION FOR THE ELDERS SERVED. IT IS ANTICIPATED THAT WITH CONCERTED EFFORTS THE ORGANIZATION WILL INCREASE THE AVAILABILITY AND QUALITY OF HEALTH CARE FOR ITS RESPECTIVE COMMUNITIES, RESULTING IN BETTER HEALTH OUTCOMES AND QUALITY OF LIFE FOR THE ELDERLY. THE ORGANIZATION SERVED 121 RESIDENTS IN 2019. 4384071 1 0 0 0 0 0 0 0 0 0 1 0 0 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 1 0 0 0 1 19 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DUANE BLACKWELL 3184438167 2230 S MACARTHUR DRIVE SUITE 9 ALEXANDRIA LA 71301 DAVID MILLER PRESIDENT/SECRETARY/TREASURER 40.00 X X 87066 0 0 THOMAS A FLOWERS PHD DIRECTOR 5.00 X 0 0 0 FATHER JACK HARRIS DIRECTOR 5.00 X 0 0 0 JOHN PAYNE DIRECTOR 5.00 X 0 0 0 87066 0 0 0 0 0 0 CAREPLUS STAFFING SERVICES 2230 S MACARTHUR DRIVE SUITE 9 ALEXANDRIA LA 71301 EMPLOYEE LEASING SERVICES 1799767 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING SERVICES 152893 SOUTHERN ADMINISTRATIVE SERVICES LLC 2230 S MACARTHUR DRIVE SUITE 9 ALEXANDRIA LA 71301 ADMINISTRATIVE & GENERAL SERVICES 111425 3 PATIENT CARE REVENUE 623000 4024365 4024365 4024365 4024365 4024365 0 0 X 87065 17413 69652 1452401 1452401 93174 93174 137849 132521 5328 90153 81138 9015 1387 1387 49800 49800 964546 964546 6443 6443 31306 31306 122547 110292 12255 615645 584863 30782 8554 8554 1985 1985 21059 21059 230035 220373 9662 MEDICAL SUPPLIES 351859 351859 GENERAL & ADMINISTRATIV 100613 100613 BAD DEBT 72036 72036 OTHER ADMINISTRATIVE FE 54000 54000 79495 79495 4571952 4384071 187881 0 341681 262621 222208 161578 3672 6261 270215 150315 103239 119900 145682 203084 816482 753444 1691140 2175683 1691140 2175683 X -874658 -1422239 -874658 -1422239 816482 753444 -547587 6 0 X 0 0 0 X 5019164 5018324 4396577 4075193 4024365 22533623 5019164 5018324 4396577 4075193 4024365 22533623 0 14217 14217 14217 14217 22519406 10 -50 0 -40 10 -50 -40 5019174 5018274 4396577 4075193 4024365 22533583 0.99940 0.99940 0.00000 X SCHEDULE A PART III, SECTION B LINE 14: THE ENTITY WAS CREATED ON JULY 14, 2010. 38130 13809 24321 26240 4141 22099 153941 81113 72828 51904 51252 652 119900 ESCROW - PROPERTY TAXES 26686 ESCROW - CAPITAL EXPENDITURES 160044 DEPOSITS - UTILITIES 16354 203084 FORM 990, PART VI, SECTION A, LINE 3 ADMINISTRATIVE DUTIES ARE DELEGATED TO A MANAGEMENT COMPANY, SOUTHERN ADMINISTRATIVE SERVICES, LLC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S PARENT ENTITY, PROGRESSIVE ELDERCARE SERVICES, INC., IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ELECT THE DIRECTORS OF THE ENTITY. FORM 990, PART VI, SECTION A, LINE 7B (I) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO HIRE AND FIRE THE PERESIDENT OF THE ENTITY. (II) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE ADMISSIONS POLICY OF THE ENTITY; AND (III) PROGRESSIVE ELDERCARE SERVICES, INC. HAS THE POWER TO ESTABLISH AND IMPLEMENT THE "CULTURE CHANGE" POLICY OF THE ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH DIRECTOR DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (A)HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B)HAS READ AND UNDERSTANDS THE POLICY; (C)HAS AGREED TO COMPLY WITH THE POLICY; AND (D)UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT EMPLOY ANY KEY EMPLOYEES, BUT HAS AN AGREEMENT FOR THE ADMINISTRATOR AND ADDITIONAL SERVICES WITH ITS MEMBER, PROGRESSIVE ELDERCARE SERVICES, INC. PROGRESSIVE ELDERCARE SERVICES, INC. SETS COMPENSATION, AND THE ORGANIZATION'S INDEPENDENT DIRETORS ACCEPT OR RATIFIY THE SUBJECT EMPLOYMENT AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL FINANACIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 726,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 726,333. MEDICAID QUALITY ASSURANCE FEE: PROGRAM SERVICE EXPENSES 238,213. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238,213. PROGRESSIVE ELDERCARE SERVICES INC 38 WARNOCK SPRINGS RD MAGNOLIA AR 71753 273040964 FACILITATE THE OPERATION OF LONG-TERM CARE FACILITIES. AR 501(C)(3) LINE 12C, III-FI N/A 0 BENTON - PROGRESSIVE ELDERCARE SERVICES INC 1149 W NEW HOPE ROAD ROGERS AR 72758 823443270 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 CAMDEN - PROGRESSIVE ELDERCARE SERVICES INC 1411 COUNTRY CLUB ROAD CAMDEN AR 71701 474341182 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 CLARK PROGRESSIVE ELDERCARE SERVICES INC 2701 TWIN RIVERS DRIVE ARKADELPHIA AR 71923 823432960 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 CRAWFORD - PROGRESSIVE ELDERCARE SERVICES INC 228 POINTER TRAIL WEST VAN BUREN AR 72956 823441195 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 FAULKNER - PROGRESSIVE ELDERCARE SERVICES INC 2603 DAVE WARD DRIVE CONWAY AR 72034 474340752 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 GARLAND - PROGRESSIVE ELDERCARE SERVICES INC 610 CARPENTER DAM RD HOT SPRINGS AR 71901 474341033 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 GRANT - PROGRESSIVE ELDERCARE SERVICES INC 113 SOUTH BRIARWOOD DR SHERIDAN AR 72150 474341949 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 LAWRENCE - PROGRESSIVE ELDERCARE SERVICES INC 1500 WEST MAIN ST WALNUT RIDGE AR 72476 474342057 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 MALVERN - PROGRESSIVE ELDERCARE SERVICES INC 105 RESSELL VILLE ROAD MALVERN AR 72104 474340191 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 MONTICELLO - PROGRESSIVE ELDERCARE SERVICES INC 1194 N CHESTER STREET MONTICELLO AR 71655 823447385 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PINES - PROGRESSIVE ELDERCARE SERVICES INC 524 CARPENTER DAM ROAD HOT SPRINGS AR 71901 474341429 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 POLK - PROGRESSIVE ELDERCARE SERVICES INC 306 HORNBECK AVE MENA AR 71953 474341779 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PRAIRIE - PROGRESSIVE ELDERCARE SERVICES INC 2216 WEST MAIN ST DES ARC AR 72040 474340873 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - BRYANT INC 22515 INTERSTATE 30 BRYANT AR 72022 273043003 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CHICOT INC 903 BORGOGNONI DRIVE LAKE VILLAGE AR 71653 273042957 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CLEVELAND INC 701 S MAIN ST RISON AR 71665 273685963 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - COLUMBIA INC 38 WARNOCK SPRINGS ROAD MAGNOLIA AR 71753 452768181 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - CROSS INC 1100 EAST MARTIN DRIVE WYNNE AR 72396 273041062 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - DREW INC 1052 OLD WARREN ROAD MONTICELLO AR 71655 273042765 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - GREEN INC 2200 CHATEAU BLVD PARAGOULD AR 72450 452768282 OPERATION OF LONG-TERM CARE FACILITY. AR 501(C)(3) LINE 10 PROGRESSIVE ELDERCARE SERVICES INC 0 PROGRESSIVE ELDERCARE SERVICES - MORRILTON INC 1000 BROOKRIDGE MORRILTON AR 72110 273042642 OPERATION OF LONG-TERM CARE FACILITY. 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