2014-08-15T10:49:50-05:00 2013-12-31 371106622 Ginoli & Company LtdCPA's 7625 N University Ste A Peoria IL 616148303 990 2013-01-01 431710785 SJL HEALTH SYSTEMS INC D/B/A PRAIRIE ROSE HEALTH CARE CENTER SJLH 3096918113 830 WEST TRAILCREEK DRIVE PEORIA IL 61614 BECKY STOKES TREASURER 3096918113 2014-08-14 1 MICHAEL REMMELECPA P00444163 3096712350 2014-08-12 2013 2015-11-30 17:44:51Z BECKY STOKES 830 W TRAILCREEK DR PEORIA IL 61614 7854342 0 X N/A X 2000 IL OPERATION OF A SKILLED NURSING CENTER 4 4 313 0 0 0 0 0 9129464 7815968 868 38374 0 0 9130332 7854342 0 0 0 0 5174038 4852127 0 0 0 5488941 5408247 10662979 10260374 -1532647 -2406032 8401033 7630116 14611970 16247085 -6210937 -8616969 TO PROVIDE CARE FOR THE ELDERLY. 0 0 8252504 7854342 OPERATION OF A SKILLED NURSING CENTER 8252504 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 313 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 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 MICHAEL A AHEARN DIRECTOR AT LARGE 1.00 X 0 0 0 0 0 0 0 0 0 0 MARTIN BROS 406 VIKING ROAD CEDAR FALLS IA 50613 FOOD SUPPLY VENDOR 225196 OMNICARE 100 EAST RIVER CENTER BLVD COVINGTON KY 41011 PHARMACEUTICAL SERVICES 190410 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 160121 3 PATIENT SERVICE 623000 7785358 7785358 RESIDENT SERVICES 623000 30610 30610 7815968 38374 38374 7854342 7854342 0 0 X 4458716 4159838 298878 393411 393411 48168 48168 56830 56830 24851 24851 68544 68544 29304 29304 29936 29936 127170 127170 684024 684024 400241 400241 PURCHASED SERVICES 639604 639604 PROVIDER BED TAX 621970 621970 NURSING SERVICES 495254 495254 MANAGEMENT FEE 460100 460100 1722251 858162 864089 10260374 8252504 2007870 0 79023 82829 2112017 1741355 32153 32153 8776189 4376211 4730438 4399978 1447402 1373801 8401033 7630116 2356807 2439018 4940000 4940000 3754665 3692002 740000 3560498 4436065 14611970 16247085 X -6210937 -8616969 -6210937 -8616969 8401033 7630116 -2406032 0 X 0 1 X 0 0 X 8514227 8721792 8366881 9129464 7815968 42548332 8514227 8721792 8366881 9129464 7815968 42548332 0 0 0 42548332 2707 2015 351 868 38374 44315 2707 2015 351 868 38374 44315 8516934 8723807 8367232 9130332 7854342 42592647 0.99900 0.99980 0.00100 0.00020 X 487408 487408 6618143 2905072 3713071 1670638 1471139 199499 4399978 DEFERRED FINANCING COSTS 704475 ASSETS LIMITED AS TO USE 593714 PREPAID EXPENSES 75612 1373801 ACCRUED PAYROLL 362850 INTEREST PAYABLE 1341161 DUE TO AFFILIATES 351000 DUE TO TUTERA HEALTH CARE 458743 OTHER LIABILITES 1922311 4436065 7854342 0 7854342 0 7854342 10260374 0 10260374 0 10260374 A CITY OF GARY INDIANA SERIES A & B 356001040 582065598 2008-10-01 5100000 PURCHASE OF FACILITY 1 0 0 A 2008 0 0 1 1 A 1 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 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 11 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 OPERATIONS & MAINTENANCE: Program service expenses 0. Management and general expenses 391,753. Fundraising expenses 0. Total expenses 391,753. FOOD: Program service expenses 380,163. Management and general expenses 0. Fundraising expenses 0. Total expenses 380,163. SUPPLIES: Program service expenses 289,358. Management and general expenses 0. Fundraising expenses 0. Total expenses 289,358. MISC. ADMIN. EXPENSES: Program service expenses 0. Management and general expenses 287,389. Fundraising expenses 0. Total expenses 287,389. BAD DEBT EXPENSE: Program service expenses 0. Management and general expenses 184,947. Fundraising expenses 0. Total expenses 184,947. PROPERTY & LIABILITY INSURANCE: Program service expenses 84,950. Management and general expenses 0. Fundraising expenses 0. Total expenses 84,950. WORKMEN'S COMPENSATION: Program service expenses 69,073. Management and general expenses 0. Fundraising expenses 0. Total expenses 69,073. OTHER DIETARY: Program service expenses 17,500. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,500. EQUIPMENT RENTAL: Program service expenses 8,224. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,224. TRAINING: Program service expenses 7,179. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,179. MISC. EXPENSES: Program service expenses 1,715. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,715.