2011-01-18T15:51:25-06:00 2010-08-31 LARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2009-09-01 370794402 COMMUNITY RETIREMENT INC DBA THE ARTHUR HOME COMM 2175432103 423 S EBERHARDT DRIVE ARTHUR IL 619111224 gale pearce 2175432103 2011-01-19 1 chad d kunze cpa 3149254300 2009 2016-02-24 21:20:13Z gale pearce 423 S EBERHARDT DRIVE ARTHUR IL 619111224 3688333 0 X www.eberhardtvillage.org X 1962 IL To provide skilled nursing care and intermediate resident care to elderly. 6 6 123 67 0 0 32862 33595 3311474 3630295 13380 13745 1663 10698 3359379 3688333 0 0 2064482 2113530 0 0 1317080 1451620 3381562 3565150 -22183 123183 2175980 2414911 430087 523919 1745893 1890992 to provide skilled nursing care and intermediate resident care to elderly. 0 0 3106922 3630991 COMMUNITY RETIREMENT, INC. OPERATES THE ARTHUR HOME, A NURSING HOME WHICH PROVIDES LICENSED SKILLED AND INTERMEDIATE resident CARE, PRIMARILY TO ELDERLY PATIENTS. 3106922 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 123 1 0 0 0 0 0 0 0 0 0 6 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 0 0 IL X david eversole administrator 2175432103 423 EBERHARDT DRIVE ARTHUR IL 61911 henry d herschberger 1.50 X 0 0 0 gale pearce 32.00 X 0 0 0 rick weger 1.50 X 0 0 0 alva miller 1.50 X 0 0 0 fred helmuth 1.50 X 0 0 0 Richard Buckler 1.50 X 0 0 0 David Eversole 40.00 X 105100 0 0 105100 0 0 1 0 0 0 ONR Inc 1101 S Capital of Texas Hwy Bldg Austin TX 78746 rehab therapy services 294186 1 33595 33595 NET SERVICE REVENUE 623000 3630295 3630295 3630295 13145 13145 696 696 696 696 600 600 600 600 Meal Income 623000 5463 5463 Miscellaneous Income 623000 2662 2662 Dietary Income 623000 1255 1255 622 622 10002 3688333 3630991 0 23747 105100 105100 1769814 1691682 78132 98766 89114 9652 139850 126183 13667 26703 26703 7019 7019 575280 416734 158546 80096 70703 9393 6438 6438 9532 9532 72149 72149 152540 152540 Therapy Services 443984 443984 Miscellaneous 41299 41299 ASSESSMENT FEES 31665 31665 Finance Charges 2279 2279 ACTIVITIES 1984 1984 652 652 3565150 3106922 458228 0 200 10001 103201 90430 833948 1102308 7554 9379 3936 13584 2256854 1823904 470882 432950 756259 756259 2175980 2414911 421087 514763 9000 9156 430087 523919 X 1442775 1571194 9536 4300 293582 315498 1745893 1890992 2175980 2414911 X 0 1 1 X 0 X 23465 6976 18988 32862 33595 115886 3246417 3327500 3326528 3311474 3630295 16842214 3269882 3334476 3345516 3344336 3663890 16958100 0 1025954 1126502 1203855 1627619 1601972 6585902 1025954 1126502 1203855 1627619 1601972 6585902 10372198 14525 10483 19800 15043 13841 73692 14525 10483 19800 15043 13841 73692 10002 10002 3284407 3344959 3365316 3359379 3687733 17041794 0.60860 0.63170 0.00430 0.00470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60067 60067 1191154 1001821 189333 925020 753195 171825 80613 68888 11725 432950 due from eberhardt village 756259 756259 Part X: Description of Uncertain Tax Positions Under FIN 48: The Organizations qualify as tax-exempt corporations described in Section 501 (c)(3) of the Internal Revenue Code. Accordingly, the Organizations are not subject to federal income taxes under Section 501 (c)(3) of the Code. The Organizations are classified as a publicly supported charitable organization under the Code and contributions to the Organizations qualify as charitable tax deductions for the contributor. The entities file as tax exempt organizations. Should that status be challenged in the future, all years since inception could be subject to review by the IRS. The Organizations income tax returns for the years 2006 through 2009 are subject to review and examination by the IRS. Form 990, Part VI, Section A, line 6 There is one class of Shareholder. Form 990, Part VI, Section A, line 7a The shareholders elect members of the governing body. Form 990, Part VI, Section A, line 8b No committees of governing body with authority to act on its behalf. Form 990, Part VI, Section B, line 11 Form 990 was presented to board for approval before filing Form 990, Part VI, Section B, line 12c Monitoring:In a small organization and village such as ours, administration and the board know all of the people that work for us and their relationships with those that provide and contract services with us. Dealing with Potential: Our policy dictates that all potential or actual conflicts are brought to the attention of the Board President as soon as possible so that safeguards can be established to protect all parties. The president may bring them to all the board member's attention during a regular monthly board meeting for further discussion. Covered: All employees and board members, and close relatives and husbands and wives of same. The level of determination of whether a conflict exits are made and reviewed by the administrator and/or Board President. Restrictions are deemed to be appropriate depending on the particular situation. When the conflict is in the best interests of the organization, no or limited restrictions are applied. When the conflict is not in the best interest of the organization, the relationship is terminated with the organization or person in conflict. Form 990, Part VI, Section B, line 15a Board Members meet annually to discuss and approve by vote the compensation for the Administrator. The Life Services Network wage survey is used for wage comparisons with other administrators. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statments are not available to the public. Eberhardt Village Inc 431 West Palmer Arthur IL 61911 743091143 assisted living facility IL 501c3 509A2 N/A 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 Eberhardt Village D 591521