2012-06-28T13:05:26-05:00 2011-12-31 371106622 Ginoli & Company LtdCPA's 7625 N University Ste A Peoria IL 616148303 990 2011-01-01 431710785 SJL HEALTH SYSTEMS INC D/B/A PRAIRIE ROSE HEALTH CARE CENTER SJLH 3096918113 830 WEST TRAILCREEK DRIVE PEORIA IL 61614 BRAD BARKLEY 3096918113 2012-06-26 1 MICHAEL REMMELECPA P00444163 3096712350 2012-06-25 2011 2016-02-24 21:20:13Z BRAD BARKLEY 830 W TRAILCREEK DR PEORIA IL 61614 8367232 0 X N/A X 2000 IL OPERATION OF A SKILLED NURSING CENTER 4 4 184 0 0 0 0 0 8721792 8366881 2015 351 0 0 8723807 8367232 0 0 0 0 4801390 4990097 0 0 0 4596227 4912949 9397617 9903046 -673810 -1535814 8630529 8486481 11773005 13164771 -3142476 -4678290 TO PROVIDE CARE FOR THE ELDERLY. 0 0 7360453 8367232 OPERATION OF A SKILLED NURSING CENTER 7360453 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 0 1 0 0 184 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 IL X LARRY TEMPLIN 3096918113 830 W TRAILCREEK DR PEORIA IL 61614 X MICHAEL KUHL 1.00 X 0 0 0 THOMAS HUMMERTON 1.00 X 0 0 0 BRAD BARKLEY 1.00 X 0 0 0 MICHAEL A AHEARN 1.00 X 0 0 0 0 0 0 0 0 0 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 556767 PETERSEN HEALTH CARE 830 WEST TRAILCREEK DR PEORIA IL 61614 MANAGEMENT SERVICES 481400 MARTIN BROS 406 VIKING ROAD CEDER FALLS IA 50613 FOOD SUPPLY VENDOR 394342 MCKESSON MEDICAL SERVICES ONE POSE STREET SAN FRANCISCO CA 94104 MEDICAL SERVICES 223826 OMNICARE 100 EAST RIVER CENTER BLVD COVINGTON KY 41011 PHARMACEUTICAL SERVICES 200710 5 PATIENT SERVICE 623000 8351393 8351393 RESIDENT SERVICES 623000 15488 15488 8366881 351 351 8367232 8367232 0 0 X 4584959 4280200 304759 405138 405138 27835 27835 114777 114777 12435 12435 14633 14633 4721 4721 674586 674586 415271 415271 PURCHASED SERVICES 557387 557387 MANAGEMENT FEE 481400 481400 NURSING SERVICES 439878 439878 MISC. PAYROLL TAXES AND 390265 390265 1779761 1145380 634381 9903046 7360453 2542593 0 359597 82502 894702 1812367 32153 32153 8680574 3628571 5397759 5052003 1946318 1507456 8630529 8486481 1197557 1989309 8178977 8123582 630000 630000 1766471 2421880 11773005 13164771 X -3142476 -4678290 -3142476 -4678290 8630529 8486481 -1535814 0 X 0 1 1 X 1 1 X 3687087 6381343 8514227 8721792 8366881 35671330 3687087 6381343 8514227 8721792 8366881 35671330 0 0 0 35671330 5976 4094 2707 2015 351 15143 5976 4094 2707 2015 351 15143 3693063 6385437 8516934 8723807 8367232 35686473 0.99960 0.99920 0.00040 0.00080 X 487408 487408 6565377 2404112 4161265 1627789 1224459 403330 5052003 DEFERRED FINANCING COSTS 757144 ASSETS LIMITED AS TO USE 686415 PREPAID EXPENSES 63897 1507456 ACCRUED PAYROLL 485778 INTEREST PAYABLE 394713 DUE TO AFFILIATES 351000 DUE TO TUTERA HEALTH CARE 458743 OTHER LIABILITES 731646 2421880 8367232 9903046 -1535814 -1535814 8367232 0 8367232 0 8367232 9903046 0 9903046 0 9903046 CITY OF GARY INDIANA SERIES A & B 356001040 582065598 2008-10-01 5100000 PURCHASE OF FACILITY 1 0 0 2008 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 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. All Other Functional Expenses Form 990, Part X, line 24e OPERATIONS & MAINTENANCE: Program service expenses 0. Management and general expenses 369,775. Fundraising expenses 0. Total expenses 369,775. FOOD: Program service expenses 340,294. Management and general expenses 0. Fundraising expenses 0. Total expenses 340,294. PROVIDER BED TAX: Program service expenses 338,538. Management and general expenses 0. Fundraising expenses 0. Total expenses 338,538. SUPPLIES: Program service expenses 293,782. Management and general expenses 0. Fundraising expenses 0. Total expenses 293,782. BAD DEBT EXPENSE: Program service expenses 0. Management and general expenses 132,899. Fundraising expenses 0. Total expenses 132,899. MISC. ADMIN. EXPENSES: Program service expenses 0. Management and general expenses 131,707. Fundraising expenses 0. Total expenses 131,707. PROPERTY & LIABILITY INSURANCE: Program service expenses 92,568. Management and general expenses 0. Fundraising expenses 0. Total expenses 92,568. WORKMEN'S COMPENSATION: Program service expenses 62,059. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,059. EQUIPMENT RENTAL: Program service expenses 9,748. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,748. OTHER DIETARY: Program service expenses 8,113. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,113. TRAINING: Program service expenses 188. Management and general expenses 0. Fundraising expenses 0. Total expenses 188. MISC. EXPENSES: Program service expenses 90. Management and general expenses 0. Fundraising expenses 0. Total expenses 90.