2020-08-03T13:08:59-07:00 2019-10-31 WDM COMPUTER SERVICES INC 1900 HARRISON ST QUINCY IL 623016752 990 2018-11-01 370843671 GOLDEN GOOD SHEPHERD HOME GOLD 2176964421 101 PRAIRIE MILLS ROAD GOLDEN IL 62339 Jane Roberts President of the Board 2176964421 2020-02-04 true James Hull CPA P00962429 2172281950 2020-08-03 216.138.11.82 2020-08-03 13:08:48 PD P 461BFA4B2881A534A387A54FD82B5CD6EC50F7C3 45216753E8AD05ECA25A2141BB8E4678A3EB573E 2018 2021-01-29 14:40:06Z Jane Roberts 308 Prairie Mills Rd Golden IL 62339 2955803 false X N/A X 1963 IL To provide elder care for the community. Long-term medical care. 8 8 90 50 0 0 597665 52653 2452636 2896770 2461 1948 3133 4432 3055895 2955803 0 0 1364224 1477239 0 0 1139067 1394788 2503291 2872027 552604 83776 2002518 2068353 414530 379515 1587988 1688838 To provide elder care for the community. Long-term medical care. false false 2640181 0 2901202 46 Residents Provided with Long-term residential and nursing care in a Nursing Home and Cottages. 2640181 true true false false false false false false false false true false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 true 90 true false false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true false true true true false IL X Abby Wayman 2176964421 101 Prairie Mills Road Golden IL 62339 X David Gronewold Director 1.00 X 0 0 0 Nathan Buss Director 1.00 X 0 0 0 Cindy Cassens Director 1.00 X 0 0 0 Curtis Post President 2.00 X X 0 0 0 Linda Waite Secretary 2.00 X X 0 0 0 Pam Flesner Director 1.00 X 0 0 0 Richard Flesner Director 1.00 X 0 0 0 Marge Moore Vice President 2.00 X X 0 0 0 0 0 0 0 false false false Caremark Rehab LTD 2834 North 2200th Ave Clayton IL 62324 Rehab Therapy 384020 OmniCare Inc PO Box 7800 Detroit MI 482781668 Pharmacy 113376 2 X 52653 52653 Routine Service Income 623000 2648767 0 0 Therapy Revenue 623000 60031 0 0 Oxygen 623000 409 0 0 Nursing Supplies 623000 95215 0 0 Transportation Income 623000 1680 0 0 90668 0 0 2896770 1948 0 1948 Management Fee 623000 0 0 0 0 Sales of Supplies to Employees 623000 41 41 0 0 Rebates 623000 444 444 0 0 3947 3947 0 0 4432 2955803 2901202 0 1948 1362385 1278308 84077 0 2968 0 2968 0 111886 111886 0 0 13622 0 13622 0 23103 0 23103 0 441290 441290 0 0 25729 0 25729 0 220733 205340 15393 0 10865 10865 0 0 120284 115767 4517 0 9699 0 9699 0 7188 626 6562 0 77266 72623 4643 0 80807 41223 39584 0 Raw Food 89456 89456 0 0 Suppliments 1544 1544 0 0 Dishwasher Rent 690 690 0 0 Laundry Outside Services 24036 24036 0 0 248476 246527 1949 0 2872027 2640181 231846 0 6384 -10260 -27799 23751 680453 894980 4000 4000 21444 19660 2921403 1898646 1026030 1022757 291122 113171 884 294 2002518 2068353 189599 379515 224931 0 414530 379515 X 1587988 1688838 1587988 1688838 2002518 2068353 X 83776 17074 X true false true false X 0 0 55818 46564 54274 597665 52653 806974 2393648 2851558 2266193 2452636 2896770 12860805 0 0 2449466 2898122 2320467 3050301 2949423 13667779 0 0 0 13667779 6000 50 56 2461 1948 10515 6000 50 56 2461 1948 10515 54955 2077 14700 3133 4432 79297 13757591 0.99350 0.99220 0.00080 0.00030 X Pt III Ln 12 Other Income Part III, Line 12 Description: Sales of Supplies to Employees 2014: -99. 2015: 159. 2016: 43. 2017: 22. 2018: 41. Description: Rebates 2014: 838. 2015: 481. 2016: 626. 2017: 168. 2018: 444. Description: Misc Rev 2014: 1041. 2015: 1109. 2016: 9053. 2017: 2913. 2018: 2752. Description: Management Fee 2014: 53000. 2015: 0. 2016: 0. 2017: 0. 2018: 0. Description: Education Inservice Training 2014: 0. 2015: 142. 2016: 0. 2017: 0. 2018: 0. Description: Rounding 2014: -2. 2015: 1. 2016: 0. 2017: 0. 2018: 0. Description: Uniform Sales 2014: 177. 2015: 41. 2016: 31. 2017: 30. 2018: 1195. Description: Insurance Reimb 2014: 0. 2015: 144. 2016: 0. 2017: 0. 2018: 0. Description: Bad Debt Recovery 2014: 0. 2015: 0. 2016: 4947. 2017: 0. 2018: 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61980 61980 1969009 1194463 774546 890414 704183 186231 1022757 ROUNDING 0 Loan Costs 294 294 Pt VIII A copy of form 990 is provided to the board of directors Pt VI, Line 11b At a regularly schedualed monthly meeting before filing. Pt VI, Line 15a The Board of Directors independently determines and reviews the salary of the Administrator and determines the yearly budget which sets the raises for the year. Pt XI The difference is due to the folding of a disreguarded entity into the facilities financials. The other entity ceased operations. Pt VI, Line 15b The Board of Directors independently determines and reviews the salary of the Administrator and determines the yearly budget which sets the raises for the year. Pt VI, Line 12c The administration regularly checks with officer's and directors to look for confilcts of interest and have a written corporate compliance code of conduct required by Medicare. Form 990, Part IX, Line 24e Housekeeping Outside Services 0. 0. 0. 0. Form 990, Part IX, Line 24e Maint Outside Services 7367. 7367. 0. 0. Form 990, Part IX, Line 24e Employee Relations 1360. 0. 1360. 0. Form 990, Part IX, Line 24e Dues & Subscriptions 1546. 1546. 0. 0. Form 990, Part IX, Line 24e Public Aid Fee 25185. 25185. 0. 0. Form 990, Part IX, Line 24e License Fees 5785. 5785. 0. 0. Form 990, Part IX, Line 24e 607 bed tax 60869. 60869. 0. 0. Form 990, Part IX, Line 24e Auto Exp 756. 756. 0. 0. Form 990, Part IX, Line 24e Auto Oil & Gas 3749. 3749. 0. 0. Form 990, Part IX, Line 24e Business Mileage 1165. 1165. 0. 0. Form 990, Part IX, Line 24e Transportation 0. 0. 0. 0. Form 990, Part IX, Line 24e Background Checks 1409. 1409. 0. 0. Form 990, Part IX, Line 24e Drug Tests 617. 617. 0. 0. Form 990, Part IX, Line 24e Employee Physicals 0. 0. 0. 0. Form 990, Part IX, Line 24e Education:Tuition 0. 0. 0. 0. Form 990, Part IX, Line 24e Education:Books 255. 255. 0. 0. Form 990, Part IX, Line 24e Bad Debts 134636. 134636. 0. 0. Form 990, Part IX, Line 24e Misc Exp 3188. 3188. 0. 0. Form 990, Part IX, Line 24e Loan Costs 589. 0. 589. 0. Form 990, Part IX, Line 24e Rounding 0. 0. 0. 0.