2018-02-20T12:50:41-06:00 2017-09-30 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2016-10-01 371138846 DESERT HEALTH CARE FACILITIES INC DESE 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 GERALD DUBOIS PRESIDENT 3093431550 2018-02-07 1 MICHAEL BASS P00458970 3093428026 108.171.131.171 2018-02-07 17:01:24 CS P 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 2016 2021-01-29 14:40:06Z GERALD DUBOIS 285 SOUTH FARNHAM STREET GALESBURG IL 61401 25504575 0 X N/A X 1984 NV DHCF, INC. PROVIDES & OPERATES NURSING & ASSISTED LIVING FACILITIES FOR THE ELDERLY. 4 4 631 17 0 0 243761 155719 24121702 25347502 -1237 -86 0 0 24364226 25503135 10630 500 0 0 12488467 13017109 0 0 0 14786266 14216667 27285363 27234276 -2921137 -1731141 5778250 4901364 14980196 15834451 -9201946 -10933087 X 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 25392758 500 25347502 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. THE ORGANIZATION OPERATES 5 FACILITIES WITH A COMBINED TOTAL OF 574 BEDS. 25392758 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 25 0 631 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X RON WILSON RFMS INC 3093431550 285 SOUTH FARNHAM GALESBURG IL 61401 X GERALD DUBOIS PRESIDENT/DIRECTOR 2.00 X X 3000 0 0 CHARLES PERRY SECRETARY/DIRECTOR 2.00 X X 3000 0 0 JAMES TOOMEY DIRECTOR 2.00 X 3000 0 0 ROBERT WERNSMAN DIRECTOR 2.00 X 4500 0 0 RON WILSON RFMS INC CFO 40.00 X 0 0 0 ANDREW BANFORD ADMINISTRATOR 40.00 X 108344 0 4980 121844 0 4980 1 0 0 0 SYNERTX REHABILITATION 7540 N 19TH AVENUE STE 200 PHOENIX AZ 85021 THERAPY SERVICES 1333953 SOLIANT HEALTH LOCKBOX DEPT CH 14430 PALATINE IL 60055 TEMP SERVICE 1101802 MESA VIEW PHYSICAL THERAPY PO BOX 202 ELKO NV 89803 THERAPY SERVICES 456361 RFMS INC 285 SOUTH FARNHAM GALESBURG IL 61401 ACCOUNTING 239550 AIDAN HEALTH SERVICES INC 180 COMMERCIAL ST NE SALEM OR 97301 CONSULTING 190402 5 155719 155719 MEDICARE & MEDICAID 623000 19634760 19634760 RESIDENT PRIVATE PAY 623000 5681767 5681767 OTHER INCOME 623000 30975 30975 25347502 1354 1354 1440 -1440 -1440 -1440 25503135 25347502 0 -86 500 500 4500 4500 11540017 11289739 250278 31584 30899 685 626206 612625 13581 814802 797131 17671 694889 532407 162482 31274 31274 61753 61753 5997 5997 2439356 2439356 38778 34900 3878 137213 107929 29284 119338 95470 23868 4318426 4191151 127275 101700 98048 3652 45032 23718 21314 344967 344967 243161 231003 12158 234271 219022 15249 SUPPLIES & SMALL EQUIPM 2344597 2344597 MEDICAID ASSESSMENT TAX 2117611 2117611 UNCOLLECTIBLE CHARGES 639856 639856 EQUIPMENT RENT & MAINTE 158119 158009 110 140329 68643 71686 27234276 25392758 1841518 0 437299 90206 16207 7002 3385004 2747206 495248 433091 4249215 2717875 1283961 1531340 10000 10000 150531 82519 5778250 4901364 2343789 3198602 12436382 12417064 200025 218785 14980196 15834451 X -9201946 -10933087 -9201946 -10933087 5778250 4901364 -1731141 0 X X 1 X 0 1 0 X 949 15577 54836 243761 155719 470842 23814030 23145851 24064955 24121702 25347502 120494040 23814979 23161428 24119791 24365463 25503221 120964882 0 0 0 120964882 276 294 435 1354 2359 276 294 435 1354 2359 23815255 23161428 24120085 24365898 25504575 120967241 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5997 5997 25392758 25398755 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 4227 4332 4872 5997 19428 250000 250000 250000 250000 1000000 1500000 1195538 546920 648618 2334158 1869521 464637 719519 301434 418085 1531340 RESIDENT SECURITY DEPOSITS 149459 DUE TO RESIDENTS, TRUST ACCOUNTS 69326 218785 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013. 1 PART I, LINE 2: GRANT FUNDS ARE ONLY GIVEN TO ORGANIZATIONS WHO CONFIRM THE USE OF SUCH MONIES IN THE UNITED STATES. LTC SUPPORT SERVICES (LTC) TWO COMMON DIRECTORS 172004 SUPPORT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCIBED IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. GERALD DUBOIS, WHO IS A DIRECTOR OF DESERT HEALTH CARE FACILITIES, INC. (DHCF), AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $1,500 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2017. ROBERT WERNSMAN, WHO IS A DIRECTOR OF DESERT HEALTH CARE FACILITIES, INC. (DHCF), AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $1,500 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2017. 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION RECEIVES SUPPORT 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. DESERT HEALTH CARE FACILITIES, INC. OWNS 14.2% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 85.8% 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 B, LINE 11B 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. 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., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH DESERT HEALTH CARE FACILITIES, 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. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2016 IS $173,548. RON WILSON'S COMPENSATION AMOUNT AND HOURS HAVE NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE SEVENTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE COMPILATION AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ELKO HEALTH CARE LLC 285 S FARNHAM STREET GALESBURG IL 61401 275439926 OPERATES A NURSING HOME & ASSISTED LIVING FACILITY FOR THE ELDERLY. NV 11525773 2557533 N/A FALLON HEALTH CARE LLC 285 S FARNHAM STREET GALESBURG IL 61401 275440284 OPERATES A NURSING HOME & ASSISTED LIVING FACILITY FOR THE ELDERLY. NV 7493530 1147828 N/A MESQUITE HEALTH CARE LLC 285 S FARNHAM STREET GALESBURG IL 61401 275440122 OPERATES A NURSING HOME FOR THE ELDERLY. NV 6485272 935295 N/A