2011-02-08T15:30:30-06:00 2010-03-31 RSM MCGLADREY INC 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2009-04-01 371223846 RESIDENTIAL ALTERNATIVES OF ILLINOISINC RESI 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 IRWIN JANN 3093431550 2011-02-04 1 BEN MCMAHAN 3093428026 2009 2016-02-24 21:20:13Z IRWIN JANN 285 SOUTH FARNHAM STREET GALESBURG IL 61401 56620916 0 X N/A X 1987 IL RAI PROVIDES & OPERATES NURSING AND ASSISTED LIVING FACILITIES FOR THE ELDERLY. 5 4 1854 71 0 0 5793 3427 54330987 56583937 50122 30298 0 54386902 56617662 108 59388 0 21995560 23662548 0 0 30554575 31085393 52550243 54807329 1836659 1810333 25969505 25427876 23087239 20735277 2882266 4692599 THE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. IN FURTHERANCE OF THOSE CHARITABLE PURPOSES, THE CORPORATION SHALL BE EMPOWERED TO BUILD, LEASE, ACQUIRE AND OTHERWISE OWN AND OPERATE RESIDENTIAL FACILITIES, NURSING FACILITIES AND OTHER RELATED FACILITIES AND SERVICES FOR THE ELDERLY, MENTALLY RETARDED, MENTALLY ILL, DEVELOPMENTALLY DISABLED AND OTHER LIKE CONDITIONS WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, CREED OR NATIONAL ORIGIN OF SAID PERSONS. THE CORPORATION WILL NOT ENGAGE IN THE PRACTICE OF MEDICINE NOR RENDER ANY LICENSED PROFESSIONAL SERVICES. 0 0 49770737 59388 56583937 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING SKILLED NURSING FACILITIES, HEALTH CARE, ASSISTED AND SEMI-INDEPENDENT LIVING FACILITIES, AND OTHER RELATED SERVICES TO THE ELDERLY. 49770737 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 35 0 1 1854 1 0 0 0 0 0 0 0 0 0 5 4 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X X RON WILSON RFMS INC 3093431550 285 S FARNHAM GALESBURG IL 61401 IRWIN JANN 2.00 X X 3000 0 0 JEFFREY SHAW 2.00 X X 4000 0 0 JACK BIDDISON 2.00 X 4000 0 0 Doug Biederstedt 2.00 X 4000 0 0 WILLIAM KEMPINERS 2.00 X 4000 0 0 RON WILSON RFMS INC 10.00 X 0 0 121196 TIM BLEDSOE LTC SUPPORT 10.00 X 0 0 0 LISA MILLER 40.00 X 115914 0 0 DARCEE FANNING 40.00 X 108020 0 0 242934 0 121196 2 0 0 0 ONR INC 1101 S CAPITAL OF TEXAS HWYBLDG G AUSTIN TX 78746 THERAPY SERVICE 1555916 RFMS INC 285 S FARNHAM GALESBURG IL 61401 ADMINISTRATIVE SERVICES 1527774 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICE 1519453 LTC SUPPORT SERVICES LLC 285 S FARNHAM GALESBURG IL 61401 SUPPORT SERVICES 682537 PROFESSIONAL THERAPY SERVICES 2810 FRANK SCOTT PKWY WEST STE 824 BELLEVILLE IL 62223 THERAPY SERVICE 401219 6 3427 3427 PRIVATE PAY RESIDENT S 623000 32422163 32422163 MEDICARE & MEDICAID 623000 23681311 23681311 other income 623000 368991 368991 MAINTENANCE FEES 623000 111472 111472 56583937 30486 30486 3066 3254 -188 -188 -188 56617662 56583937 0 30298 59388 59388 21500 21500 19983578 19340032 643546 108841 105336 3505 1839730 1780484 59246 1708899 1653866 55033 2313001 1475701 837300 92923 92923 124520 124520 11774 11774 3928314 3928314 684273 615846 68427 290962 222981 67981 127390 101912 25478 12265432 11901957 363475 100524 98699 1825 18837 16880 1957 733386 733386 905973 860674 45299 604988 480684 124304 SUPPLIES & SMALL EQUIPM 6419278 6385939 33339 NOTE RECEIVABLE RESERVE 1200000 1200000 UNCOLLECTIBLE CHARGES 438596 438596 EQUIPMENT RENTAL & MAIN 379826 375356 4470 MEDICAID ASSESSMENT TAX 323386 323386 122010 43302 78708 54807329 49770737 5036592 0 2248369 994262 1530777 5078415 8608366 5660966 188100 155168 17445318 3931253 13368893 13514065 10000 10000 15000 15000 25969505 25427876 5037687 5207091 264704 495000 17784848 15033186 23087239 20735277 X 2882266 4692599 2882266 4692599 25969505 25427876 X 0 1 1 X 0 X 2230 550 5793 3427 12000 33991525 43316661 12805096 54330987 56583937 201028206 33993755 43317211 12805096 54336780 56587364 201040206 0 0 0 201040206 34423 83555 20051 49522 30486 218037 34423 83555 20051 49522 30486 218037 166516 166516 34194694 43400766 12825147 54386302 56617850 201424759 0.99810 0.99640 0.00110 0.00120 X 11774 11774 49770737 49782511 1000000 250000 0 0 1000000 706893 1000000 1000000 3706893 5560340 7713 3319 13516 11774 36322 250000 176723 250000 250000 926723 1390085 236000 236000 10558625 1059980 9498645 1608349 610746 997603 3272358 1552701 1719657 1769986 707826 1062160 13514065 RESIDENT SECURITY DEPOSITS 1276545 REFUNDABLE BALANCES 666000 DUE TO RESIDENTS, TRUST ACCTS 75031 STANDBY LOAN AGREEMENT WITH FRANCES HOUSE, INC. 750000 MORTGAGE NOTE PAYABLE TO FRANCES HOUSE, INC. 11532054 CONSTRUCTION PAYABLE 733556 15033186 Part X: Description of Uncertain Tax Positions Under FIN 48: THERE WERE NO UNCERTAIN TAX POSITIONS REPORTED OR REQUIRED TO BE REPORTED IN THE FINANCIAL STATEMENTS. 1 RESIDENTIAL ALTERNATIVES OF IOWA 285 SOUTH FARNHAM STREET GALESBURG IL 61401 721568459 501(C)(3) 59363 FORGIVEN INTEREST ON DEBT 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: THE GRANT REPRESENTS FORGIVEN INTEREST ON DEBT FROM RESIDENTIAL ALTERNATIVES OF IOWA, A 501(C)(3) ORGANIZATION DOING BUSINESS AND LOCATED IN THE UNITED STATES. LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO BOTH RAI & LTC ARE JEFF SHAW & IRWIN JANN. 798000 MANAGEMENT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCRIBED ABOVE IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. JEFFREY SHAW, WHO IS A DIRECTOR OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING JUNE 30, 2010. IRWIN JANN, WHO IS A DIRECTOR OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FOR THE FISCAL YEAR ENDING JUNE 30, 2010 AND COMPENSATION OF $48,000 FROM LTC SUPPORT SERVICES, LLC. 0 Form 990, Part VI, Section A, line 3 THE ORGANIZATION RECEIVES MANAGEMENT SERVICES FROM LTC SUPPORT SERVICES, LLC, AN UNRELATED COMPANY. THESE SERVICES INCLUDE OVERSIGHT, TRAINING, REGULATORY COMPLIANCE, QUALITY ASSURANCE PROGRAMS, HUMAN RESOURCE SUPPORT, MARKETING AND MAINTENANCE. RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., OWNS 12.5% OF LTC SUPPORT SERVICES, LLC., AND FRANCES HOUSE, INC., (PARENT ORGANIZATION OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.) OWNS 12.5% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 75% OF LTC SUPPORT SERVICES, LLC, IS OWNED BY UNRELATED EXEMPT ORGANIZATIONS. THE ORGANIZATION ALSO HAS A NEGOTIATED ARMS LENGTH ADMINISTRATIVE SERVICES CONTRACT WITH RFMS, INC., AN UNRELATED COMPANY, TO OBTAIN SERVICES SUCH AS CASH MANAGEMENT, ACCOUNTING AND FINANCIAL REPORTING, PAYROLL AND EMPLOYEE BENEFITS, INFORMATION TECHNOLOGY, REGULATORY MATTERS, AND OTHER GENERAL BUSINESS AND FINANCIAL MANAGEMENT SERVICES AS REQUIRED. Form 990, Part VI, Section A, line 7a THE ORGANIZATION IS A SUBSIDIARY OF FRANCES HOUSE, INC. FRANCES HOUSE, INC., IS THE MEMBER OF THE ORGANIZATION. FRANCES HOUSE, INC., ELECTS THE GOVERNING BODY ON AN ANNUAL BASIS. Form 990, Part VI, Section B, line 11 EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVES A PAPER COPY OF FORM 990 FOR THEIR REVIEW AND COMMENT PRIOR TO ITS FILING. THE BOARD ALSO REVIEWS IN DETAIL EACH FORM 990 FILED BY THE ORGANIZATION AT ITS REGULARLY SCHEDULED BOARD MEETINGS. ON AN ANNUAL BASIS, EACH BOARD MEMBER ATTENDS A TRAINING SESSION THAT PROVIDES UPDATES ON CURRENT EXEMPT ORGANIZATION TAX COMPLIANCE MATTERS. Form 990, Part VI, Section B, line 12c ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ATTEST TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE BOARD OF DIRECTORS REVIEWS ALL COMPLETED CONFLICT OF INTEREST STATEMENTS TO DETERMINE IF ANY CONFLICTS EXIST WHICH WOULD REQUIRE RESTRICTION ON PARTICIPATION IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN ANY TRANSACTIONS INVOLVING THE ORGANIZATION. Form 990, Part VI, Section C, line 18 A PAPER COPY OF FORM 990 IS PROVIDED UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE VIA THE GUIDESTAR.ORG WEBSITE AND THROUGH THE ATTORNEY GENERAL'S OFFICE OF THE STATE OF ILLINOIS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC EXCEPT THROUGH PUBLIC FILING REQUIREMENTS. FORM 990, PART VII, SECTION A, COLUMN F: RON WILSON IS EMPLOYED BY RFMS, INC., AND UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC., AND THE COMPENSATION REPORTED IN COLUMN F REPRESENTS 100% OF THE WAGES AS REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR THE CALENDAR YEAR 2009. THE COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT PER ORGANIZATION. fORM 990, PART VII, SECTION A, COLUMN B: APPROXIMATELY ONE HALF OF THE AVERAGE HOURS PER WEEK ESTIMATED FOR EACH DIRECTOR AND OFFICER IS DEVOTED TO RELATED ORGANIZATIONS LISTED ON SCHEDULE R. FORM 990, PART XI, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE R, PART II: RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., IS A SUBSIDIARY OF FRANCES HOUSE, INC. CONCEPTS PLUS, INC., PIONEER CONCEPTS, INC., AND PINNACLE OPPORTUNITIES, INC., ARE SUBSIDIARIES OF FRANCES HOUSE, INC. THE 501(C)(2) ORGANIZATIONS LISTED IN THIS SECTION ARE SUBSIDIARIES OF FRANCES HOUSE, INC. RESIDENTIAL ALTERNATIVES OF IOWA, INC., IS RELATED TO RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., ONLY BY SHARING A COMMON BOARD OF DIRECTORS. FORM 990, PART XI, LINE 2B: THE FINANCIAL STATEMENTS OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., WERE AUDITED AS PART OF THE CONSOLIDATED FINANCIAL REPORT ISSUED FOR FRANCES HOUSE, INC., AND SUBSIDIARIES. FRANCES HOUSE INC 285 S FARNHAM STREET GALESBURG IL 61401 371087901 OPERATION OF LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. IL 501(c)(3) Line 9 N/A CONCEPTS PLUS INC 285 S FARNHAM STREET GALESBURG IL 61401 364143612 OPERATION OF LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. IL 501(c)(3) Line 9 N/A PINNACLE OPPORTUNITIES INC 285 S FARNHAM STREET GALESBURG IL 61401 364143605 OPERATION OF LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. IL 501(c)(3) Line 9 N/A PIONEER CONCEPTS INC 285 S FARNHAM STREET GALESBURG IL 61401 364143602 OPERATION OF LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. IL 501(c)(3) Line 9 N/A RESIDENTIAL ALTERNATIVES OF IOWA 285 S FARNHAM STREET GALESBURG IL 61401 721568459 OPERATES ELDERLY SKILLED NURSING,ASSISTED/INDEPNDENT LIVING FACILITIES. IL 501(c)(3) Line 9 N/A CLINTON PARK LANE LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341666 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) IL 501(c)(2) N/A FREEPORT NAVAJO LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341569 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) IL 501(c)(2) N/A FREEPORT MANOR COURT LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262905838 NO ACTIVITY IL 501(c)(2) N/A GENESEO SOUTH CHICAGO LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341757 NO ACTIVITY IL 501(c)(2) N/A MANOR COURT OF PRINCETON LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262865939 NO ACTIVITY IL 501(c)(2) N/A PEORIA MANOR COURT LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341694 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) IL 501(c)(2) N/A PEORIA STALWORTH LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341610 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) IL 501(c)(2) N/A PERU BECKER LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341728 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) IL 501(c)(2) N/A STEATOR EASTWOOD LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341779 NO ACTIVITY IL 501(c)(2) N/A 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0