2015-01-26T08:42:07-06:00 2014-03-31 420714325 MCGLADREY LLP 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2013-04-01 364143602 PIONEER CONCEPTS INC PION 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 JEFFREY SHAW PRESIDENT 3093431550 2014-12-16 1 BEN MCMAHAN P00702421 3093428026 2013 2016-02-25 16:41:14Z JEFFREY SHAW 285 SOUTH FARNHAM STREET GALESBURG IL 61401 7014378 0 X N/A X 1996 IL TO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. 4 4 163 0 0 0 1270 1301 7132687 6625936 115654 143879 0 0 7249611 6771116 0 0 0 0 3177666 3400873 0 0 0 2708461 2686459 5886127 6087332 1363484 683784 23451002 24124685 613798 587322 22837204 23537363 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, DEVELOPMENALLY 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 5686444 6625936 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING LONG-TERM CARE FACILITIES AND OTHER RELATED SERVICES TO THE DEVELOPMENTALLY DISABLED. THE ORGANIZATION OPERATES 8 FACILITIES WITH A COMBINED TOTAL OF 128 BEDS WITHIN THESE FACILITIES. 5686444 1 0 0 1 0 0 0 0 0 0 1 0 1 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 0 1 0 1 0 1 9 0 1 163 1 0 0 0 0 0 0 0 0 0 0 X 4 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 ST GALESBURG IL 61401 X X JEFFREY SHAW PRESIDENT 1.00 1.00 X X 0 0 0 KENNETH PYSZKA SECRETARY 1.00 1.00 X X 0 0 0 GORDON MONN DIRECTOR 1.00 1.00 X 0 0 0 JOHN CARMODY DIRECTOR 1.00 1.00 X 0 0 0 RON WILSON RFMS INC CFO 40.00 X 0 0 0 0 0 0 0 0 0 0 RFMS INC 285 S FARNHAM ST GALESBURG IL 61401 ADMINISTRATIVE SERVICES 285540 LTC SUPPORT SERVICES LLC 285 S FARNHAM ST GALESBURG IL 61401 SUPPORT SERVICES 128410 2 1301 1301 MEDICARE & MEDICAID 623000 5507166 5507166 PRIVATE PAY RESIDENT S 623000 1031281 1031281 AID TRAINING INCOME 623000 86838 86838 RECOVERY OF BAD DEBT 623000 651 651 6625936 138767 138767 248374 243262 5112 5112 5112 6771116 6625936 0 143879 2953916 2850522 103394 13710 13230 480 156412 150937 5475 276835 267145 9690 500581 336307 164274 6343 6343 41687 41687 2136 2136 10607 10607 83123 83123 18184 16366 1818 81770 64632 17138 30774 24619 6155 220386 215294 5092 131301 130119 1182 19164 17248 1916 261233 248171 13062 20337 8675 11662 SUPPLIES & SMALL EQUIPM 709818 709818 MEDICAID ASSESSMENT TAX 411081 411081 EQUIPMENT RENTAL & MAIN 100016 100016 SUBSCRIPTIONS AND FEES 14968 7436 7532 22950 21098 1852 6087332 5686444 400888 0 932303 1195031 5814474 4702693 2643749 1316613 64374 64924 6086076 3768192 2529249 2317884 1514087 4574774 9952766 9952766 23451002 24124685 511798 457322 18000 19000 84000 111000 613798 587322 X 22837204 23537363 22837204 23537363 23451002 24124685 683784 16375 0 X X 0 1 X 1 0 X 850 150 1270 1301 3571 7158803 6957585 7123115 7132687 6625936 34998126 7158803 6958435 7123265 7133957 6627237 35001697 0 223610 192269 179784 169231 289508 1054402 223610 192269 179784 169231 289508 1054402 33947295 55094 200920 74335 44608 138767 513724 55094 200920 74335 44608 138767 513724 7213897 7159355 7197600 7178565 6766004 35515421 0.95580 0.95950 0.01450 0.01380 X 2136 2136 5686444 5688580 434429 108607 0 0 419745 423954 424175 434429 1702303 2553455 2182 2408 2374 2136 9100 104936 105989 106044 108607 425576 638364 499315 499315 3970152 2668548 1301604 765422 392087 373335 268145 129492 138653 583042 578065 4977 2317884 STANDBY LOAN AGREEMENT RECEIVABLE FROM FRANCES HOUSE, INC. 9447766 C RECEIVABLE FROM PINNACLE OPPORTUNITIES, INC. 505000 C 9952766 DUE TO THIRD PARTY PAYORS 111000 111000 X PART X, LINE 2: FRANCES HOUSE, INC. AND ITS SUBSIDIARIES ARE 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 THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2010. LTC SUPPORT SERVICES (LTC) A SINGLE DIRECTOR COMMON TO BOTH PIONEER CONCEPTS & LTC IS JEFF SHAW. 215040 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 PIONEER CONCEPTS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING MARCH 31, 2014. 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. FRANCES HOUSE, INC., (PARENT ORGANIZATION OF PIONEER CONCEPTS, INC.) OWNS 12.5% OF LTC SUPPORT SERVICES, LLC, AND RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., (AN ORGANIZATION RELATED TO PIONEER CONCEPTS, INC., THROUGH COMMON OWNERSHIP) 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 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 VII, SECTION A, COLUMN F: RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH PIONEER CONCEPTS, 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 2013 IS $173,862. RON WILSON'S COMPENSATION AMOUNT AND HOURS HAVE NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE NINETEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC. 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 PIONEER CONCEPTS, 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 0 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 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 9 N/A 0 RESIDENTIAL ALTERNATIVES OF ILLINOIS INC 285 S FARNHAM STREET GALESBURG IL 61401 371223846 OPERATES ELDERLY SKILLED NURSING,ASSISTED/INDEPNDNT LIVING FACILITIES IL 501(C)(3) LINE 9 N/A 0 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 0 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 0 FREEPORT MANOR COURT LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262905838 NO ACTIVITY IL 501(C)(2) N/A 0 GENESEO SOUTH CHICAGO LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341757 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 ACQUIRING & HOLDING TITLE TO PROPERTY; REMITTING ALL INCOME TO 501(C)(3) 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 STREATOR EASTWOOD LTD NFP 285 S FARNHAM STREET GALESBURG IL 61401 262341779 NO ACTIVITY IL 501(C)(2) N/A 0 RFMS INC MEDICAL BENEFIT PLAN TRUST 285 S FARNHAM STREET GALESBURG IL 61401 367042729 MEDICAL, ST DISABILITY & DEATH BENEFITS FOR ELIGIBLE EMPLOYEES IL 501(C)(9) N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RFMS INC MEDICAL BENEFIT PLAN TRUST R 70386 COST OF PREMIUMS SCHEDULE R, PART II: PIONEER CONCEPTS, INC., IS A SUBSIDIARY OF FRANCES HOUSE, INC. RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., CONCEPTS PLUS, 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. SCHEDULE R, PART II AND PART V: THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS A SELF-INSURED BENEFIT PROGRAM FUNDED BY THE EMPLOYERS AND PARTICIPANTS WITHIN THE PLAN. PARTICIPANTS IN THE PLAN ARE CURRENT AND FORMER EMPLOYEES OF THE FOLLOWING SPONSORS: RFMS, INC., LTC SUPPORT SERVICES, LLC, COMMUNITY RESIDENTIAL CENTERS, INC., COMMUNITY LIVING OPTIONS, INC., SMSLC, LLC, FRANCES HOUSE, INC., UNLIMITED DEVELOPMENT, INC., KENSINGTON OF GALESBURG, INC., ACHIEVEMENT UNLIMITED, INC., CONCEPTS PLUS, INC., PINNACLE OPPORTUNITIES, INC., PIONEER CONCEPTS, INC., RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC., RESIDENTIAL ALTERNATIVES OF IOWA, DESERT HEALTHCARE FACILITIES, INC., FLORIDA LIVING OPTIONS, INC., AND HIGHLAND ESTATES RESORT, LLC. PLAN ASSETS ARE HELD IN A VOLUNTARY EMPLOYEE'S BENEFIT ASSOCIATION (VEBA) TRUST. NO TRUSTEE FEES OR MANAGEMENT FEES ARE PAID BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST. THE AMOUNT OF PREMIUMS RECEIVED BY THE RFMS, INC. MEDICAL BENEFIT PLAN TRUST IS FOR THE PLAN'S FISCAL YEAR ENDING OCTOBER 31, 2013.