2020-06-30T13:09:06-07:00 2018-06-30 274368649 CALDWELL COREN & SCEGGEL 7900 S CASS AVENUE SUITE 170 DARIEN IL 605615073 990 2017-07-01 370330985 BRETHREN HOME OF GIRARD ILLINOIS DBA PLEASANT HILL VILLAGE BRET 2176279502 1010 W NORTH ST GIRARD IL 62640 DAWN SMITH Executive Director 2020-06-30 true Jonathan S Sceggel CPA MBA P00226545 6309602135 2017 2021-01-29 14:40:06Z PAULETTE MILLER 5148537 false false X PLEASANTHILLVILLAGE.ORG X 1976 IL PLEASANT HILL VILLAGE WAS ESTABLISHED BY THE CHURCH OF THE BRETHREN AND OPERATES UNDER THE AUSPICES OF THE CHURCH. THE ORGANIZATION IS A HURSING HOME AND AN INDEPENDENT LIVING/ASSISTED LIVING CENTER WHOSE PURPOSE IS TO PROVIDE EXTENDED CARE. THE NURSING HOME IS A SKILLED CARE FACILITY. TAX EXEMPT STATUS - GROUP EXEMPTION - CHURCH OF THE BRETHERN GENERAL BOARD ELGIN, IL 60120 EXEMPT # 1542 12 12 204 0 47157 31937 5196282 4995405 18556 2425 161497 105941 5423492 5135708 1327752 358147 0 3080697 2886007 0 95402 1106370 1979514 5514819 5223668 -91327 -87960 7950271 8208563 4404146 4748307 3546125 3460256 X PLEASANT HILL VILLAGE WAS ESTABLISHED BY THE CHURCH OF THE BRETHREN AND OPERATES UNDER THE AUSPICES OF THE CHURCH. THE ORGANIZATION IS A HURSING HOME AND AN INDEPENDENT LIVING/ASSISTED LIVING CENTER WHOSE PURPOSE IS TO PROVIDE EXTENDED CARE. THE NURSING HOME IS A SKILLED CARE FACILITY. TAX EXEMPT STATUS - GROUP EXEMPTION - CHURCH OF THE BRETHERN GENERAL BOARD ELGIN, IL 60120 EXEMPT # 1542 false false 1170484 87831 1270881 PRIVATE PAY PROGRAM -- PRIVATE PAY SERVICES ARE NURSING HOME CARE SERVICES PROVIDED FOR PRIVATE PAY RESIDENTS. 9,000 DAYS OF CARE (13,500 DAYS OF CARE LESS 1/3 ALLOCATED TO SPECIAL CARE WING 4,500) WERE PROVIDED FOR F/Y ENDED 6/30/2018. THE ALLOCATION OF EXPENSES IS 32.61% (9,000/27,600). 1118438 85842 1263607 SPECIAL CARE WING -- NURSING HOME AND SPECIAL CARE WAS PROVIDED FOR 8,600 DAYS OF CARE. THE SPECIAL CARE UNIT PROVIDES SPECIAL CARE FOR RESIDENTS WITH DEMENTIA. APPROXIMATELY 4,100 DAYS OF CARE WERE PROVIDED FOR LOW INCOME RESIDENTS. TOTAL DAYS OF SERVICE FOR PRIVATE PAY RESIDENTS WAS 13,500. APPROXIMATELY 1/3 OF THESE DAYS (4,500)WERE FOR RESIDENTS ON THE SPECIAL CARE WING. TOTAL SPECIAL CARE DAYS OF SERVICE PROVIDED FOR 4,100 FOR MEDICAID RESIDENTS AND 4,500 FOR PRIVATE RESIDENTS (4,100+4,500 = 8,700). (8,600/27,600) 31.16% OF EXPENSES WER ALLOCATED TO THIS PROGRAM. 1079314 81893 1205477 MEDICAID -- NURSING HOME CARE WAS PROVIDED FOR 8,300 DAYS OF CARE FOR LOW INCOME RESIDENTS. SINCE MOST PROGRAMS EXPENSES CANNOT BE ALLOCATED TO SPECIFIC PROGRAMS, THESE EXPENSES WERE ALLOCATED BASED ON THE TOTAL DAYS OF CARE PROVIDED BY THE NURSING HOME TOTAL DAYS OF CARE WAS 27,600. TOTAL MEDICAID DAYS OF SERVICE PROVIDED WAS 12,500. HOWEVER APPORXIMATELY 1/3 OF THESE DAYS WERE FOR SPECIAL CARE WING RESIDENTS. THE BALANCE OF 8,300 DAYS WAS ALLOCATED TO MEDICAID (8,300 / 27,600) 30.07% OF EXPENSES WERE ALLOCATED TO THIS PROGRAM. 954869 102581 1255440 4323105 true false false false false false false false false true true false false true true false false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false true 4 0 true 204 true false false false false false false false false 0 false false false false false false false false false false X 12 12 false false false false false false false true true true false true true true true true true true false false X DAWN SMITH 2176279502 1010 W NORTH ST GIRARD IL 62640 MARK REICHERT President 1.00 0.00 X X 0 0 0 DR ALLEN KRALL Vice President 1.00 0.00 X X 0 0 0 FRANK BRANNOCK Secretary 1.00 0.00 X X 0 0 0 PATTY BROCKMEYER Secretary 1.00 0.00 X X 0 0 0 WILLIAM BUSKE Director 0.75 0.00 X 0 0 0 NANCY HERIFORD Director 0.75 0.00 X 0 0 0 JOAN SUTTON Director 0.75 0.00 X 0 0 0 LINDA THEBEAU Director 0.75 0.00 X 0 0 0 DAN NICHOLS Director 0.75 0.00 X 0 0 0 DAN BITNER Director 0.75 0.00 X 0 0 0 RUSSELL BOEHL Director 0.75 0.00 X 0 0 0 RUTH SIBURT Director 0.75 0.00 X 0 0 0 PAULETTE MILLER Executive Dir. 40.00 0.00 X 86265 0 0 86265 0 false false false REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63105 THERAPY 360566 1 20598 11339 31937 INDEPENDENT LIVING FACILI 623990 986501 986501 MEDICAID REVENUE 623000 1735137 1735137 MEDICARE REVENUE 623000 882146 882146 PRIVATE REVENUE 623000 1391621 1391621 4995405 2425 2425 0 0 2860 2860 2860 2860 0 67825 9290 12829 54996 0 0 FARM INCOME 110000 3534 3534 MANAGEMENT FEES 561000 1275 1275 RESIDENT SERVICES 621990 43276 43276 48085 5135708 5048775 0 358147 358147 0 0 86265 86265 0 2585887 2284561 226301 75025 0 11824 11824 202031 174198 22678 5155 0 4720 4720 59205 59205 0 0 0 7992 7992 14001 14001 0 64297 49731 13375 1191 0 0 3114 3114 0 0 122107 122107 0 211920 204444 7476 258673 138898 119775 OUTSIDE SERVICES 418177 416778 1399 SUPPLIES 417943 408215 9728 UTILITIES 201562 191733 9829 PROPERTY TAX 47299 47299 148504 96400 52074 30 5223668 4323105 805161 95402 805264 827978 110947 136246 0 2205992 2661447 0 0 0 5407 5407 59482 25180 9152107 5015947 4284495 4136160 0 0 0 0 478684 416145 7950271 8208563 1035046 1008308 3369100 2741698 998300 1 4404146 4748307 X 3477413 3255298 136246 68712 68712 3546125 3460256 7950271 8208563 X -87960 2091 X true X false true false X 68712 68712 68712 68712 68712 68712 68712 68712 68712 68712 1.00000 false false false 88500 88500 6794884 3146414 3648470 321003 222946 98057 1499464 1351943 147521 448256 294644 153612 4136160 BRETHREN FOUNDATION 125224 CAPITAL CONTRIBUTION PCWP 75384 CAPITAL CONTRIBUTION PEACE CHURCH RISK 215537 416145 Rounding 1 1 X X false DINNER FUNDRAISER 77115 9290 67825 614 12215 77115 9290 67825 614 12215 12829 54996 false 0 0 A HICKORY POINT BANK 371052394 123456789 2003-10-21 3050000 REFINANCE FACILITY CONSTRUCTIO false false false B HICKORY POINT BANK 371052394 123456789 2003-10-21 1900000 FACILITY CONSTRUCTION false false false A 3050000 2003 false false true true B 1900000 2003 false false true true A false false false false false false false false true B false false false false false true A false false false false false false false false false B false false false false false A true B true Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: PRIVATE PAY PROGRAM -- PRIVATE PAY SERVICES ARE NURSING HOME CARE SERVICES PROVIDED FOR PRIVATE PAY RESIDENTS. 9,000 DAYS OF CARE (13,500 DAYS OF CARE LESS 1/3 ALLOCATED TO SPECIAL CARE WING 4,500) WERE PROVIDED FOR F/Y ENDED 6/30/2018. THE ALLOCATION OF EXPENSES IS 32.61% (9,000/27,600). OTHER PROGRAM SERVICES 5: INDEPENDENT LIVING & ASSISTED LIVING CENTER PROGRAM PROVIDES HOUSING FOR SENIOR LIVING. PROGRAM EXPENSES FOR THE INDEPENDENT LIVING AND ASSISTED LIVING CENTER ARE SPECIFIC TO THE PROGRAM THIS PROGRAM ALSO OFFERS VARIOUS SERVICES TO RESIDENTS SUCH AS MEALS, MEDICATION REMINDRS, HOUSEKEEPING, LAUNDRY SERVICES, HAIR CARE, AND DINING ASSISTANCE. OTHER PROGRAM SERVICES 6: CHARITABLE CARE IS PROVIDED FOR BOTH NURSING HOME CARE AND INDEPENDENT LIVING CENTER BY PROVIDING CARE FOR SENIOR LIVING AT A REDUCED COST. Form 990, Part VI, Line 11b: Form 990 Review Process COPIES OF FORM 990 WERE E-MAILED TO EACH OFFICER AND DIRECTOR. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts BOARD MEETINGS ARE HELD MONTHLY AND ANY PROBLEMS ARE DEAL WITH AT THE MEETINGS. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management EXECUTIVE DIRECTOR SALARY IS REVIEWED ON AN ANNUAL BASIS AT BUDGET PLANNING MEETING. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY BY INDIVIDUAL REQUEST. Other Changes In Net Assets Or Fund Balances - Other Increases CONSOLIDATION ADJUSTMENT = $2091