2012-08-10T08:27:20-05:00 2011-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2011-01-01 364137587 Coulterville Care Inc % MR GREG ELLIOTT COUL 6187582256 6633 Delmar Blvd St Louis MO 63130 HAROLD JOINES 2012-08-08 true 3142315544 2011 2016-02-24 21:20:13Z Andrea McFadden 13138 State Route 13 Coulterville IL 62237 7755752 false X N/A X 1995 IL LONG-TERM HEALTH CARE FACILITY X 4 3 146 15 0 0 0 4134109 4700309 4340 441 211728 2334 4350177 4703084 5888 4498 0 0 2021039 2203632 0 0 0 2287509 2471226 4314436 4679356 35741 23728 4682272 4395184 3980649 3669833 701623 725351 NONE false false 4247229 4498 4700309 COULTERVILLE CARE, INC. WAS ORGANIZED FOR RELIGIOUS, CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES. SPECIFICALLY, THE ORGANIZATION WAS ORGANIZED TO OPERATE A 75-BED LONG-TERM HEALTH CARE FACILITY LOCATED IN COULTERVILLE, IL. THE FACILITY CONSISTS OF 75 SKILLED CARE BEDS. 4247229 true false false false false false false false false true false false false true false false false false false false false false false false false false false false false false false false false false false true false false false false true false false false false false false true 13 0 true 146 true false false false false false false false false false false X 4 3 false false false false false false false true true false false true true true true true true true false IL X MR GREG ELLIOTT 3147260111 6633 DELMAR ST LOUIS MO 63130 KENNETH CURRY 0.5 X X 0 0 0 WILLIAM JARRETT 0.5 X 0 0 0 WILLIAM MUELLER 0.5 X 0 0 0 HAROLD JOINES 0.5 X X 0 0 0 ANDREA MCFADDEN 40.0 X 71093 0 5503 71093 0 5503 0 false false false SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 PHYSICAL THERAPY 467651 ST ANDREWS MANAGEMENT SERVICES 6633 DELMAR BLVD ST LOUIS MO 63130 ACCOUNTING & IT 150541 2 0 ROUTINE SERVICE 621110 3186460 3186460 PHARMACY 446110 186154 186154 PHYSICAL THERAPY 621110 550920 550920 OCCUPATIONAL THERAPY 621110 492180 492180 SPEECH THERAPY 621110 284595 284595 4700309 441 441 0 0 3052668 3052668 0 0 0 0 OTHER INCOME 900099 2334 2334 2334 4703084 4700309 2775 0 4498 4498 0 0 76596 0 76596 0 0 1726443 1630116 96327 0 112179 106721 5458 288414 261552 26862 120000 120000 20157 20157 26213 26213 0 0 0 61947 61947 15139 15139 283228 237214 46014 36474 36474 0 208370 208370 4067 4067 0 24399 24399 325363 325363 0 210312 206520 3792 79187 79187 PHYSICAL THERAPY 231108 231108 FOOD EXPENSE 194391 194391 OCCUPATIONAL THERAPY 206859 206859 BAD DEBT 167005 167005 257007 249091 7916 4679356 4247229 432127 0 1300 1150 824387 224026 0 0 400841 933826 0 0 0 0 0 0 0 0 75334 138626 3113782 116226 2922473 2997556 0 0 277600 0 0 0 0 0 180337 100000 4682272 4395184 631707 595720 0 0 3061 3024 3260000 0 0 0 0 0 74952 0 0 0 10929 3071089 3980649 3669833 X 701623 725351 0 0 0 0 701623 725351 4682272 4395184 23728 X true false true X false X 4052618 4201957 4331206 4134109 4700309 21420199 4052618 4201957 4331206 4134109 4700309 21420199 21420199 17060 14363 3819 4340 441 40023 17060 14363 3819 4340 441 40023 4208 4952 10720 211728 2334 233942 4073886 4221272 4345745 4350177 4703084 21694164 0.98737 0.98622 0.00185 0.00233 X 0 0 4643 464 4179 44077 1348 42729 11697 1348 10349 3053365 113066 2940299 2997556 0 RESIDENT CREDIT BALANCES 13466 LEASE OBLIGATION 3034183 DEFERRED GAIN ON SALE OF ASSET 23440 3071089 FIN 48 DISCLOSURE SCHEDULE D, PART XIV MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 0 Linda Mueller spouse of William Mu family member of board 72362 employed as a dir. of nursing false Vanda Welty mother of A McFadden family member of exe. dir 24725 employed as a cna false Donald McFadden husband of A McFa family member of exe. dir 26339 employee salary false LAND, BUILDING, EQUIPMENT 2011-06-15 3052668 NET BOOK VALUE 271954207 SOUTHERN HEALTH CARE LLC 1115 BIRCH LANE SPARTA IL 62286 LLC false false false false SALE OF ASSETS PART II, LINE 1 DURING THE YEAR, THE ORGANIZATION ENTERED INTO AN AGREEMENT TO SELL THEIR EXISTING LAND, BUILDING, AND EQUIPMENT. THE PROCEEDS WERE USED TO RETIRE ALL EXISTING DEBT. THE ASSETS WERE THEN LEASED BACK FROM THE BUYER FOR A TERM OF 10 YEARS WITH AN OPTION TO RENEW FOR A SECOND TERM OF 10 YEARS. REVIEW PROCESS FORM 990, PART VI, SECTION B, QUESTION 11 THE DRAFT FORM 990 IS REVIEWED BY THE FINANCIAL CONSULTANT FOR ACCURACY AND MADE AVAILABLE TO THE ENTIRE BOARD. THE FINAL FORM 990 IS MAILED TO THE PRESIDENT OF THE BOARD FOR REVIEW AND SIGNATURE. COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR, DISCLOSURE FORMS ARE SENT TO BOARD MEMBERS AND CCC'S ONE KEY EMPLOYEE TO ENSURE EVERYONE SIGNS OFF THAT THEY ARE IN COMPLIANCE WITH CCC'S WRITTEN CONFLICT OF INTEREST POLICY. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A/B EVERY YEAR, THE CCC BOARD REVIEWS DATA PROVIDED BY AN LTC ASSOCIATION. IT PROVIDES COMPARATIVE SALARY INFORMATION. IT ALSO RECEIVES CURRENT, COMPARATIVE SALARY DATA FROM THE LOCAL COUNTY NURSING HOME. BASED ON THIS DATA, THE CCC BOARD ANNUALLY REVISES AND APPROVES THE SALARY OF THE EXECUTIVE DIRECTOR. NO OTHER OFFICERS OR KEY EMPLOYEES ARE COMPENSATED. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.