2017-11-27T11:31:19-06:00 2017-03-31 420714325 RSM US LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2016-04-01 371223846 RESIDENTIAL ALTERNATIVES OF ILLINOISINC RESI 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 JOHN KNIERY PRESIDENT 3093431550 2017-11-16 1 MICHAEL BASS P00458970 3093428026 108.171.131.171 2017-11-16 09:44:25 CS P 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 6D2A4EE4B649EE1AB208E4C4231B96A3655E787B 2016 2017-02-10 21:41:12Z JOHN KNIERY 285 SOUTH FARNHAM STREET GALESBURG IL 61401 80685149 0 X N/A X 1987 IL RAI PROVIDES & OPERATES NURSING AND ASSISTED LIVING FACILITIES FOR THE ELDERLY. 5 5 2186 71 0 0 50935 235537 81350890 79742121 513377 167954 0 0 81915202 80145612 564 598 0 0 32886224 33460151 0 0 0 42591640 40464602 75478428 73925351 6436774 6220261 44069113 49127693 16531768 15182166 27537345 33945527 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 69540281 598 79742121 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 20 FACILITIES WITH A COMBINED TOTAL OF 1,427 BEDS WITHIN THESE FACILITIES. 69540281 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 1 47 0 2186 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X RON WILSON RFMS INC 3093431550 285 S FARNHAM GALESBURG IL 61401 X JOHN KNIERY PRESIDENT 1.00 1.00 X X 4500 0 0 BEN MCMAHAN VICE PRESIDENT 1.00 1.00 X X 1500 0 0 JEFFREY SHAW SECRETARY 1.00 1.00 X X 6000 0 0 DOUG BIEDERSTEDT DIRECTOR 1.00 1.00 X 6000 0 0 WILLIAM KEMPINERS DIRECTOR 1.00 1.00 X 6000 0 0 RON WILSON RFMS INC CFO 40.00 X 0 0 0 ANDRES BARDELAS ADMINISTRATOR 40.00 0.00 X 108004 0 6636 STACEY CREMEENS ADMINISTRATOR 40.00 0.00 X 126984 0 12323 LISA MILLER ADMINISTRATOR 40.00 0.00 X 107378 0 10625 LINDA PATTON ADMINISTRATOR 40.00 0.00 X 110006 0 8013 PEGGY HOLT ADMINISTRATOR 40.00 0.00 X 100244 0 8476 576616 0 46073 5 0 0 0 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 4138536 CONSONUS REHAB PO BOX 4800 PORTLAND OR 97208 THERAPY SERVICES 1902802 RFMS INC 285 S FARNHAM GALESBURG IL 61401 ADMINISTRATIVE SERVICES 1505400 LTC SUPPORT SERVICES LLC 285 S FARNHAM GALESBURG IL 61401 SUPPORT SERVICES 1049552 ONR 1101 S CAPITAL OF TEXAS HWY AUSTIN TX 78746 THERAPY SERVICES 979733 7 235537 235537 PRIVATE PAY RESIDENT SERVICES 623000 46516222 46516222 MEDICARE & MEDICAID 623000 32949048 32949048 OTHER INCOME 623000 218636 218636 MAINTENANCE FEES 623000 58215 58215 79742121 147234 147234 558657 1600 538714 823 19943 777 20720 20720 80145612 79742121 0 167954 X 598 598 25500 25500 29243531 28406194 837337 164465 159756 4709 1716557 1667406 49151 2310098 2243952 66146 2508650 1677225 831425 67340 67340 281721 281721 21827 21827 61259 61259 8185785 8185785 907781 817003 90778 388772 305551 83221 278429 222743 55686 14587389 14156323 431066 138442 137364 1078 36617 28077 8540 2419 2346 73 1211440 1150868 60572 419148 327926 91222 SUPPLIES & SMALL EQUIPM 7940965 7910485 30480 MEDICAID ASSESSMENT TAX 1408464 1408464 UNCOLLECTIBLE CHARGES 1233651 1233651 EQUIPMENT RENTAL & MAIN 610431 607962 2469 174072 62994 111078 73925351 69540281 4385070 0 2187415 2336938 11150443 8804305 8801358 10720876 235950 195534 30673462 9347968 16083888 21325494 5324140 5465987 35919 28559 250000 250000 44069113 49127693 6556124 6217940 756000 823000 9219644 8141226 16531768 15182166 X 27537345 33945527 27537345 33945527 44069113 49127693 6220261 187921 0 X X 1 X 1 X 1 0 X 9144 12955 10763 50935 235537 319334 63205073 67348572 82585832 81350890 79742121 374232488 63214217 67361527 82596595 81401825 79977658 374551822 0 0 0 374551822 58778 241351 232801 161469 147234 841633 58778 241351 232801 161469 147234 841633 63272995 67602878 82829396 81563294 80124892 375393455 0.99780 0.99780 0.00220 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21827 21827 69540281 69562108 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 14054 0 20460 21827 56341 250000 250000 250000 250000 1000000 1500000 561810 561810 19183031 2802089 16380942 5185682 2695209 2490473 4561135 2983529 1577606 1181804 867141 314663 21325494 RESIDENT SECURITY DEPOSITS 1088211 AMOUNTS REFUNDABLE TO RESIDENTS 268000 DUE TO RESIDENTS, TRUST ACCTS 103672 MORTGAGE NOTE PAYABLE TO FRANCES HOUSE, INC. 6247796 INTEREST PAYABLE TO FRANCES HOUSE, INC. 300043 RENT PAYABLE TO FRANCES HOUSE, INC. 7091 RENT PAYABLE TO PERU BECKER, LTD., NFP 126413 8141226 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTIONS 501(C)(3) OR 501(C)(2) 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 ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013. LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO RAI & LTC ARE J. SHAW & J. KNIERY. 1057250 SUPPORT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCRIBED 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 $3,000 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING MARCH 31, 2017. JOHN KNIERY, WHO IS A DIRECTOR OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC. AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $3,000 FROM LTC SUPPORT SERVICES, LLC FOR THE FISCAL YEAR ENDING MARCH 31, 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. RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., OWNS 14.2% OF LTC SUPPORT SERVICES, LLC., AND FRANCES HOUSE, INC., (PARENT ORGANIZATION OF RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.) OWNS 14.2% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 71.6% 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 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 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., AN 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. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2016 IS $173,548. THIS COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE SEVENTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. FORM 990, PART VII, SECTION A, COLUMN B: APPROXIMATELY ONE HALF OF THE AVERAGE HOURS PER WEEK ESTIMATED FOR EACH DIRECTOR IS DEVOTED TO RELATED ORGANIZATIONS LISTED ON SCHEDULE R. FORM 990, PART IX, LINE 11G CONSULTANT FEES - LAB, XRAY, THERAPY, DIETARY, RESPITORY, SPEECH, PHARMACY: PROGRAM SERVICE EXPENSES 8,185,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,185,785. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, 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. CORALVILLE MANOR LLC 2332 LIBERTY DRIVE CORALVILLE IA 52241 300233914 OPERATES WINDMILL MANOR, A SKILLED NURSING FACILITY IA 9117600 2538102 N/A 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 10 N/A 0 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 10 N/A 0 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 10 N/A 0 FREEPORT MANOR COURT LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262905838 NO ACTIVITY IL 501(C)(2) N/A 0 MANOR COURT OF PRINCETON LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262865939 NO ACTIVITY IL 501(C)(2) N/A 0 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 0 PEORIA STALWORTH LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341610 NO ACTIVITY IL 501(C)(2) N/A 0 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 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 PERU BECKER LTD NFP K 1374000 CASH TRANSACTION BASED ON FMV PEORIA MANOR COURT LTD NFP K 858000 CASH TRANSACTION BASED ON FMV SCHEDULE R, PART II: RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., IS A SUBSIDIARY OF FRANCES HOUSE, 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.