2020-08-27T13:24:46-05:00 2019-12-31 371106622 Ginoli & Company LtdCPA's 7625 N University Ste A Peoria IL 616148303 990 2019-01-01 431710785 SJL HEALTH SYSTEMS INC SJLH 3096918113 830 WEST TRAILCREEK DRIVE PEORIA IL 61614 BECKY STOKES TREASURER 3096918113 2020-08-24 1 MICHAEL REMMELECPA P00444163 3096712350 2020-08-24 162.210.1.10 2020-08-24 10:43:54 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2873B684D5A8D2A59C9BEF7D79DC4DA7FDE45CED 2019 2020-11-19 02:30:22Z BECKY STOKES 830 W TRAILCREEK DR PEORIA IL 61614 3330138 0 X N/A X 2000 IL OPERATION OF A SKILLED NURSING CENTER 3 3 132 0 0 0 0 0 3138793 3330021 115 117 0 0 3138908 3330138 0 0 0 0 1558020 1536587 0 0 0 1536181 1734872 3094201 3271459 44707 58679 2793630 3094708 5371687 5614086 -2578057 -2519378 TO PROVIDE CARE FOR THE ELDERLY. 0 0 2598624 3330138 OPERATION OF A SKILLED NURSING CENTER 2598624 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 0 132 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 117459 1 PATIENT SERVICE 623000 3315009 3315009 RESIDENT SERVICES 623000 15012 15012 3330021 117 117 3330138 3330138 0 0 X 1422893 1304783 118110 113694 104257 9437 11740 11740 2736 2736 4380 4380 4578 4578 1075 1075 162840 162840 103761 103761 PURCHASED SERVICES 286758 286758 MANAGEMENT FEE 273000 273000 PROVIDER BED TAX 167417 167417 OPERATIONS & MAINTENANC 153707 153707 562880 468808 94072 3271459 2598624 672835 0 134818 593674 1427022 1419992 13727 13727 4633699 3964888 752631 668811 465432 398504 2793630 3094708 693093 697026 2554020 2566589 2124574 2350471 5371687 5614086 X -2578057 -2519378 -2578057 -2519378 2793630 3094708 58679 0 X 0 1 X 0 0 X 3676483 2726323 2835566 3138793 12377165 3676483 2726323 2835566 3138793 12377165 0 0 0 12377165 387 112 89 115 703 387 112 89 115 703 3676870 2726435 2835655 3138908 12377868 0.99990 0.99990 0.00010 0.00010 X 13500 13500 3359514 2717776 641738 1207112 1201352 5760 53573 45760 7813 668811 ASSETS LIMITED AS TO USE 369552 PREPAID EXPENSES 28952 398504 ACCRUED PAYROLL 504956 INTEREST PAYABLE 345389 DUE TO AFFILIATES 351000 OTHER LIABILITIES 23874 ACCRUED MANAGEMENT FEES 1125252 2350471 3330138 0 3330138 0 3330138 3271459 0 3271459 0 3271459 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 FOOD: Program service expenses 152,787. Management and general expenses 0. Fundraising expenses 0. Total expenses 152,787. NURSING SERVICES: Program service expenses 133,238. Management and general expenses 0. Fundraising expenses 0. Total expenses 133,238. MISC. ADMIN. EXPENSES: Program service expenses 0. Management and general expenses 94,072. Fundraising expenses 0. Total expenses 94,072. SUPPLIES: Program service expenses 85,648. Management and general expenses 0. Fundraising expenses 0. Total expenses 85,648. PROPERTY & LIABILITY INSURANCE: Program service expenses 63,295. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,295. WORKMEN'S COMPENSATION: Program service expenses 26,531. Management and general expenses 0. Fundraising expenses 0. Total expenses 26,531. EQUIPMENT RENTAL: Program service expenses 6,570. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,570. OTHER DIETARY: Program service expenses 660. Management and general expenses 0. Fundraising expenses 0. Total expenses 660. TRAINING: Program service expenses 79. Management and general expenses 0. Fundraising expenses 0. Total expenses 79.