2017-11-10T08:12:47-06:00 2016-12-31 430352985 KERBER ECK & BRAECKEL LLP 3200 ROBBINS RD STE 200A SPRINGFIELD IL 62704 990 2016-01-01 371215144 VILLA HEALTH CARE INC VILL 2177443654 101 VILLA PARKWAY SHERMAN IL 62684 JAMES O WILLIAMSON PRESIDENT 2177443654 2017-11-08 1 DEBORAH J RINGER P00732336 2177890960 2017-11-07 50.234.166.214 2017-11-08 08:52:36 CS P 12F2A0ACCBA63A13D448AB2595A2481A662811AC 76E88D2D5B8B8E4DE6500FA707265698303AA3FC 2016 2017-02-10 21:41:12Z JAMES O WILLIAMSON 101 VILLA PARKWAY SHERMAN IL 62684 10302057 0 X WWW.VILLASSENIORCARE.COM X 1991 IL PROVIDE A SHELTERCARE FACILITY FOR THE ELDERLY. 5 4 259 31 0 0 46335 45690 9923115 10246851 12918 9516 0 0 9982368 10302057 0 0 0 0 4696266 4800768 0 0 0 5152653 5660139 9848919 10460907 133449 -158850 9916897 12275892 9559071 12169215 357826 106677 VILLA HEALTH CARE IS DEDICATED TO ASSISTING THE AGED POPULATION IN MAINTAINING THE HIGHEST POSSIBLE QUALITY OF LIFE FOR THE LONGEST PERIOD OF TIME. WE ARE COMMITTED TO PROVIDING AN ENVIRONMENT WHERE THE DIGNITY OF EACH INDIVIDUAL IS ENSURED. 0 0 8645388 10246851 PROVIDED SKILLED NURSING CARE TO PRIVATE, MEDICARE, AND MEDICAID INSURED SENIORS. 8645388 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1 0 0 0 1 20 0 1 259 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 IL X JAMES O WILLIAMSON 2177443654 101 VILLA PARKWAY SHERMAN IL 62684 JAMES O WILLIAMSON PRESIDENT/CEO 20.00 40.00 X X 0 123000 1859 KENNETH W TASSET VICE PRESIDENT 1.00 X X 0 0 0 CONCETTA CARDINELL SECRETARY 1.00 X X 0 0 0 FRANK MOSCARDELLI TREASURER 1.00 X X 0 0 0 RICHARD S EDWARDS DIRECTOR 1.00 X 0 0 0 0 123000 1859 0 0 0 0 HERITAGE ENTERPRISES 115 W JEFFERSON BLOOMINGTON IL 61701 MANAGEMENT CONSULTANT 753650 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 THERAPY SERVICES 673089 VILLA RETIREMENT 101 VILLA PARKWAY SHERMAN IL 62684 MANAGEMENT CONSULTANT 513071 SYSCO PO BOX 620 LINCOLN IL 62656 FOOD 367647 EL PRUITT PO BOX 3306 SPRINGFIELD IL 62708 CONSTRUCTION 242980 5 45690 45690 RESIDENT SERVICE REVENUE 623000 10246851 10246851 10246851 9516 9516 10302057 10246851 0 9516 4231163 3699225 531938 228781 141620 87161 340824 297976 42848 635821 635821 72222 72222 947127 917970 29157 112851 112851 19148 19148 508222 475188 33034 5719 5719 401281 401281 497617 497617 463339 405088 58251 LOSS ON EXTINGUISHMENT 600042 600042 FOOD EXPENSE 408381 408381 SUPPLIES 314635 314635 DRUG PURCHASES 193717 193717 480017 292648 187369 10460907 8645388 1815519 0 3223817 2620217 816872 1174115 21012 16117 149891 33224 16114235 7960593 5408234 8153642 297071 278577 9916897 12275892 624059 798052 8878932 11211240 56080 159923 9559071 12169215 X 357826 106677 357826 106677 9916897 12275892 X -158850 -92299 X 0 1 X 1 1 1 X 150000 92360 21033 46335 45690 355418 9026049 10613814 10547881 9923115 10246851 50357710 9176049 10706174 10568914 9969450 10292541 50713128 0 0 0 50713128 11692 42740 18147 12918 9516 95013 11692 42740 18147 12918 9516 95013 9187741 10748914 10587061 9982368 10302057 50808141 0.99810 0.99810 0.00190 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 633209 633209 9871704 5995210 3876494 1721934 1589798 132136 3887388 375585 3511803 8153642 DEPOSITS HELD IN TRUST - PATIENTS 28108 IHFS ASSESSMENT PAYABLE 29342 DUE TO RELATED PARTY 10174 INTEREST RATE SWAP LIABILITY 92299 159923 X 10209758 -92299 -92299 10302057 0 10302057 10460907 0 10460907 0 10460907 PART X, LINE 2: THE ORGANIZATION HAS RECOGNIZED IN THE FINANCIAL STATEMENTS THE EFFECTS OF ALL TAX POSITIONS AND CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION IS NOT AWARE OF ANY CIRCUMSTANCES OR EVENTS THAT MAKE IT REASONABLY POSSIBLE THAT UNRECOGNIZED TAX BENEFITS MAY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE STATEMENT OF FINANCIAL POSITION DATE. PENALTIES AND INTEREST ASSESSED BY TAXING AUTHORITIES ARE INCLUDED IN MANAGEMENT AND GENERAL EXPENSES, IF APPLICABLE. THERE WAS NO INTEREST OR PENALTIES PAID DURING 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN UNREALIZED LOSS ON INTEREST RATE SWAP LIABILITY A VILLAGE OF SHERMAN ILLINOIS 370991796 2015-12-30 10000000 TO REFINANCE EXISTING DEBT OF VILLA HEALTH CARE 0 0 0 B VILLAGE OF SHERMAN ILLINOIS 370991796 2016-04-01 4000000 TO FINANCE CONSTRUCTION OF NEW FACILITIES FOR VILLA HEALTH CARE 0 0 0 A 10000000 912696 200000 385993 8501311 2016 0 0 1 1 B 4000000 80000 3920000 2016 0 0 0 0 A 0 0 0 0 0 1 TOWN AND COUNTRY BANK 17.000000000000 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 ILLINOIS HEALTHCARE MANAGEMENT II PROVIDES MANAGEMENT CONSULTING SERVICES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE COMPLETED 990 IS REVIEWED BY THE OFFICERS AND BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON INTEREST RATE SWAP LIABILITY -92,299. CARITAS HALL ASSOCIATION 101 VILLA PARKWAY SHERMAN IL 62684 371120435 CHARITABLE SUPPORT FOR ELDERLY IL 501(C)(3) LINE 12B, II 0 GOD'S OUT REACH OF SHERMAN INC 101 VILLA PARKWAY SHERMAN IL 62684 364165176 CHARITABLE SUPPORT OF POOR IL 501(C)(3) PF 0 VILLA RETIREMENT INC 101 VILLA PARKWAY SHERMAN IL 62684 371198674 ELDERLY RETIREMENT CONTINUUM OF CARE IL 501(C)(3) PF 0 VILLA VIANNEY INC 101 VILLA PARKWAY SHERMAN IL 62684 371055112 SENIOR LIVING FACILITY IL 501(C)(3) LINE 10 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 CARITAS HALL ASSOCIATION C 45690 CASH VILLA RETIREMENT INC M 513070 CASH