2017-08-11T10:26:26-07:00 2016-12-31 WDM COMPUTER SERVICES INC 1900 HARRISON ST QUINCY IL 623016752 990 2016-01-01 363378161 HENDERSON COUNTY RETIREMENT CENTER INC HEND 3099241990 604 OAKWOOD DRIVE STRONGHURST IL 61480 DIANA DORAN BOARD PRESIDENT 3099241990 2017-03-03 true JAMES HULL CPA 2172281950 2017-08-11 216.138.44.204 2017-08-11 10:26:10 PD P 88696162DCF6F4087B7FF7BFCEE88B2E17A4845B 88696162DCF6F4087B7FF7BFCEE88B2E17A4845B 2016 2021-01-29 14:40:06Z DIANA DORAN PO BOX 417 Stronghurst IL 61480 3439592 false X www.oaklanenurseandrehab.com X 1989 IL NURSING HOME To provide elder care to anyone who is in need. 9 9 130 20 -4587 16833 28805 3068633 3366918 10838 10727 3720 15505 3100024 3421955 0 0 1648760 1759076 0 0 1345329 1449801 2994089 3208877 105935 213078 4094546 4188041 2052661 1933078 2041885 2254963 NURSING HOME false false 2957385 3387010 INTERMEDIATED & SKILLED CARE NURSING HOME WITH 60 BEDS AND 21,960 PATIENT DAYS AVAILABLE FOR CARE 2957385 true true false false false true false false false false true false false true false false true false false false false false false false false false false false false false false false false false false true true true false false false false false false false false false true 0 0 true 130 true false false false false false false false false false false false false false X 9 9 true false false false true true false true false true false true false false false true true false IL X WDM COMPUTER SERVICES INC 2172281950 1900 HARRISON QUINCY IL 62301 X DIANA DORAN BOARD PRES. 10.00 X X 0 0 0 RALPH TATGE BOARD V.P. 5.00 X X 0 0 0 MARY REED BOARD TREAS 5.00 X X 0 0 0 NANCY STEVENSON BOARD SEC. 5.00 X X 0 0 0 JAYNE OLSEN BOARD MEMBER 5.00 X 0 0 0 DAVID GERST BOARD MEMBER 5.00 X 0 0 0 TOM EDMONDS BOARD MEMBER 5.00 X 0 0 0 TOM PULLEN BOARD MEMBER 5.00 X 0 0 0 JUDY ROESSLER BOARD MEMBER 5.00 X 0 0 0 false false false Rehabcare Group PO Box 503534 St Louis MO 63150 Therapy Services 254356 1 1175 10 27620 18375 28805 ROUTINE SERVICE-PRIVATE SNF 623000 985028 Routine Service-Medicare 623000 270600 Routine Service-Medicaid 623000 628489 DIAPER REVENUE 623000 14371 Physical Therapy B 623000 46526 1421904 3366918 10227 10227 13050 17637 -4587 -4587 -4587 500 500 500 500 10 Uniform Sales 623000 Personal Purchases Income 623000 Canteen & Gift Shop 623000 5348 5348 14744 14744 20092 3421955 3387010 -4587 10727 1565737 1408119 157618 0 9430 0 9430 0 68440 68440 0 0 115469 115469 0 0 1047 0 1047 0 27122 0 27122 0 306247 305672 575 0 12544 0 12544 0 228015 216196 11819 0 25149 25149 0 0 142549 137333 5216 0 7183 0 7183 0 97874 97874 0 0 199327 188055 11272 0 113705 108894 4811 0 Oxygen Lease 1036 1036 0 0 Raw Food 95678 95678 0 0 Raw Food-SLF 37809 37809 0 0 Suppliments 5806 5806 0 0 148710 145855 2855 0 3208877 2957385 251492 0 71705 24912 825456 754900 403654 624551 25589 33626 40860 40011 5954530 3296758 2720823 2657772 6459 52269 4094546 4188041 216016 163760 1836645 1769318 2052661 1933078 X 2041885 2254963 2041885 2254963 4094546 4188041 213078 X false true X true false X 0 0 0 122390 541527 50347 16833 28805 759902 2932550 2959656 2999477 3068633 3366918 15327234 3054940 3501183 3049824 3085466 3395723 16087136 66573 489695 556268 66573 489695 556268 15530868 4406 23969 12530 10838 10727 62470 4406 23969 12530 10838 10727 62470 12379 20036 19212 21104 14744 87475 16237081 0.95650 0.95520 0.00380 0.00360 X Pt III Ln 12 Other Income Part III, Line 12 Description: Miscellaneous Income 2012: -208. 2013: 6507. 2014: 111. 2015: 1501. 2016: 1116. Description: Rebates 2012: 0. 2013: 0. 2014: 1595. 2015: 473. 2016: 388. Description: Sales of Supplies to Employees 2012: 1961. 2013: 3090. 2014: 0. 2015: 0. 2016: 112. Description: Misc Other Income Listed Part VIII, Line 11 2012: 10627. 2013: 10440. 2014: 17505. 2015: 19130. 2016: 13124. Description: Rounding 2012: -1. 2013: -1. 2014: 1. 2015: 0. 2016: 4. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 22500 22500 4588616 2268157 2320459 1343414 1028601 314813 2657772 Interest Receivable 1085 Construction In Process 79714 Deposits -27930 Rental Deposits -600 Rounding 52269 3421955 3421955 3421955 3208877 3208877 3208877 Doran Insurance Board President 100 Insurance false Doran Construction Son of Board Pres. 17645 Construction and Repairs false Tom Doran Husband of Board Pres. 1157 Housekeeping/Laundry Supplies false Pt VI, Line 2 Diana Doran provides unsurance services to several other officers/key employees Pt VI, Line 6 Members are accepted through a $25 membership fee. Pt VI, Line 7a The complete membership is allowed to nominate and vote for the Board of Directors. Pt VI, Line 8a The Board of Directors document each meeting through minutes that are read and approved at the following meeting. Pt VI, Line 8b The Board of Directors do not document committe meetings through board minutes. Pt VI, Line 11b The 990 is presented to the President of the Board for review, approval, and signitures before filing. Pt VI, Line 15a The salary of the Administrator is reviewed and approved by the Board of Directors through a yearly review/budget process. Pt VI, Line 15b The Board of Directors delegates the Administrator and Manager to reveiw and all other salaries and submit proposals to the Board of Directors for approval. Form 990EZ, Part I, Line 8 MISC REVENUE Form 990EZ, Part II, Line 24 Accounts Receivable - Net Form 990EZ, Part II, Line 24 Inventories Form 990EZ, Part II, Line 24 Prepaids Form 990EZ, Part II, Line 24 Surety bond Form 990EZ, Part II, Line 26 Accounts Payable & Accrued Expenses Form 990EZ, Part II, Line 26 Bonds, Mortgages & Other Notes Form 990, Part VI, Line 9 Diana Doran BOX 417 CARMAN IL 61425 Form 990, Part VI, Line 9 Jayne Olson Box 1 Gladstone IL 61437 Form 990, Part VI, Line 9 MARY REED RR 1 LITTLE YORK IL 61453 Form 990, Part VI, Line 9 NANCY STEVENSON RR 1 GLADSTONE IL 61437 Form 990, Part VI, Line 9 RALPH TATGE BOX 535 STRONGHURST IL 61480 Form 990, Part VI, Line 9 JUDY ROESSLER BOX 11 MEDIA IL 61460 Form 990, Part VI, Line 9 TOM EDMONDS BOX 129 LOMAX IL 61454 Form 990, Part VI, Line 9 TOM PULLEN BOX 199 GLADSTONE IL 61437 Form 990, Part VI, Line 9 DAVID GERST BOX 111 LOMAX IL 61454 Form 990, Part IX, Line 24e Dietary-Special Events 3243. 3243. 0. 0. Form 990, Part IX, Line 24e Dues and Subscriptions 3902. 3902. 0. 0. Form 990, Part IX, Line 24e Dues and Sucscriptions-SLF 1380. 1380. 0. 0. Form 990, Part IX, Line 24e Public Aid Fee 32940. 32940. 0. 0. Form 990, Part IX, Line 24e License & Fees 2840. 2840. 0. 0. Form 990, Part IX, Line 24e License & fees-SLF 0. 0. 0. 0. Form 990, Part IX, Line 24e 607 Bed Tax 69635. 69635. 0. 0. Form 990, Part IX, Line 24e Auto Exp 10249. 10249. 0. 0. Form 990, Part IX, Line 24e Vehicular Repairs/Gas-SLF 870. 870. 0. 0. Form 990, Part IX, Line 24e Auto Gas & Oil 2592. 2592. 0. 0. Form 990, Part IX, Line 24e Transportation Exp-SLF 170. 170. 0. 0. Form 990, Part IX, Line 24e Reimbursement for Mileage 147. 0. 147. 0. Form 990, Part IX, Line 24e Criminal Background Checks 199. 199. 0. 0. Form 990, Part IX, Line 24e Background checks-SLF 0. 0. 0. 0. Form 990, Part IX, Line 24e Patient Background Checks 842. 842. 0. 0. Form 990, Part IX, Line 24e Employee Drug Tests 1745. 1745. 0. 0. Form 990, Part IX, Line 24e Employee Drug Test-SLF 32. 32. 0. 0. Form 990, Part IX, Line 24e Background Checks-Volunteers 0. 0. 0. 0. Form 990, Part IX, Line 24e Bad Debt 15216. 15216. 0. 0. Form 990, Part IX, Line 24e Contributions 471. 0. 471. 0. Form 990, Part IX, Line 24e Contributions-SLF 20. 0. 20. 0. Form 990, Part IX, Line 24e Misc Exp. 2067. 0. 2067. 0. Form 990, Part IX, Line 24e Misc Exp.-SLF 150. 0. 150. 0. Form 990, Part IX, Line 24e Bank fees 0. 0. 0. 0. Form 990, Part IX, Line 24e Rounding 0. 0. 0. 0.