2014-07-09T09:45:50-05:00 2013-08-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-09-01 371104153 GENERAL BAPTIST NURSING HOME OF ILLINOIS INC % SCOTT R COLE GENE 6182634337 1320 W 9TH STREET Suite MT CARMEL IL 62863 BRETT MILLIKIN 9738989494 2014-07-09 true Scott Mariani 9738989494 2012 2015-11-30 17:44:51Z SCOTT R COLE 1287 W NORTH STREET PIGGOTT AR 72454 6068902 false X WWW.GENERALBAPTISTHEALTHCARE.COM X 1981 IL TO PROVIDE QUALITY SKILLED NURSING CARE AND OTHER SUPPORTING LIVING SERVICES FOR THE ELDERLY AND DISABLED REGARDLESS OF AGE, ETHNICITY, RELIGION, SEXUAL PREFERENCE OR ABILITY TO PAY. 7 7 229 16 0 4586 3957 6401002 6063475 2605 1470 6361 0 6414554 6068902 0 0 0 0 3046326 3045520 0 0 0 3456947 3641206 6503273 6686726 -88719 -617824 7273851 7342817 10369756 11056546 -3095905 -3713729 X THE ORGANIZATION REALIZES A MORAL RESPONSIBILITY FOR THE RESIDENTS IN THE FACILITY AND THE ADMINISTRATION IS COMMITTED TO ENSURING THAT EACH RESIDENT RECEIVES GOOD QUALITY CARE. THE SPECIFIC PERSONALIZED NEEDS OF THE RESIDENTS INCLUDE THE PHYSICAL, SOCIAL, SPIRITUAL, PSYCHOLOGICAL AND SAFETY ASPECTS WHICH WE STRIVE DAILY TO SATISFY. false false 4630080 0 6063475 A SKILLED NURSING AND SUPPORTIVE LIVING FACILITY. THE NURSING FACILITY PROVIDES QUALITY NURSING CARE FOR UP TO 90 RESIDENTS INCLUDING ALZHEIMER AND RELATED DISORDERS. 24-HOUR ACCESS TO NURSING STAFF THAT INCLUDES A DIRECTOR OF NURSES, ASSISTANT DIRECTOR OF NURSES, RNS, LPNS AND AIDES. PHYSICIANS ARE ON CALL 24-HOURS A DAY AND CONSULTANTS ARE AVAILABLE IN THE AREAS OF DIETARY, PHARMACY, LABORATORY, MEDICAL DIRECTOR, DENTAL AND REHABILITATION THERAPY. IN ADDITION, NUTRITIONALLY BALANCED MEALS, PLANNED BY A REGISTERED DIETICIAN, ARE PROVIDED AS WELL AS HOUSEKEEPING AND LAUNDRY SERVICES AND NUMEROUS SOCIAL ACTIVITIES. THE SUPPORTIVE LIVING FACILITY PROVIDES A RANGE OF SERVICES THAT PROMOTE QUALITY OF LIFE AND INDEPENDENCE FOR UP TO 38 RESIDENTS. SERVICES INCLUDE 24-HOUR SUPERVISION, PREPARED MEALS AND PERSONAL SERVICES. 4630080 true false false true false false false false true false true false false false true true true false false false false false false false false false false false false false false false false false false false true false false false false false false true false false false true 12 0 true 229 true false false false false false false false false false false X 7 7 true true false false true true false true false false false true true true true true true false false false X SCOTT R COLE 8705981020 1287 W NORTH STREET PIGGOTT AR 72454 X CAROL BLANTON 1.0 X X 0 0 0 RONNIE STEVENS 1.0 X X 0 0 0 GREG STEVENS 1.0 X X 0 0 0 JAMES FEATHERSTON 1.0 X X 0 0 0 KENNETH CURTIS 1.0 X 0 0 0 MARY MARTHA CURTIS 1.0 X 0 0 0 CLYDUS GRAY 1.0 X 0 0 0 DAN SITZE 1.0 X 0 0 0 SCOTT R COLE 55.0 X 0 120367 18851 BRETT MILLIKIN 55.0 X 0 0 0 MARK J BREWSTER 55.0 X 86560 0 14095 86560 120367 32946 0 false false false REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 CONTRACT THERAPY 801517 GENERAL BAPTIST NURSING HOME BOARD 1287 W NORTH STREET PIGGOTT AR 72454 MANAGEMENT 489639 OMNICARE INC PO BOX 715268 COLUMBUS OH 432715268 PHARMACEUTICAL 152811 CRS ONE SOURCE PO BOX 1984 COLORADO SPRINGS CO 809337789 FOOD 128870 GORDON FOOD SERVICE 290 E CARPENTER HIGHWAY DALLAS TX 75204 FOOD 117902 5 X 3957 3957 NET PATIENT SERVICE REVENUE 541900 5870330 5870330 PHARMACY REVENUE 446110 172848 172848 OTHER HEALTHCARE RELATED REVENUE 541900 20297 20297 6063475 1470 1470 0 0 0 0 0 0 0 0 0 0 6068902 6063475 1470 0 0 0 0 100655 100655 0 2478660 2207066 271594 277529 190255 87274 188676 166834 21842 0 296083 296083 0 0 2406 2406 0 0 852657 771322 81335 2808 2808 188518 134453 54065 72707 72707 0 185162 185162 1948 1240 708 0 3111 1405 1706 715182 715182 0 234479 211031 23448 201422 201422 MEDICAL SUPPLIES & DRUGS 554072 554072 0 UTILITIES 174275 174275 REPAIRS & MAINTENANCE 97147 97097 50 BAD DEBT 11555 0 11555 47674 20375 27299 6686726 4630080 2056646 0 X 18052 15832 231444 361762 0 0 1057006 1084841 0 0 0 0 0 0 41193 35349 60404 37519 9297018 3489504 5865752 5807514 0 0 0 0 0 0 0 0 0 0 7273851 7342817 831906 1000880 0 0 0 0 0 0 5067 0 0 0 8255017 8748782 0 0 1277766 1306884 10369756 11056546 X -3095905 -3713729 0 0 0 0 -3095905 -3713729 7273851 7342817 -617824 X false true X true true true X 11850 5710 2878 4586 3957 28981 5868884 6047220 6705875 6401002 6063475 31086456 0 0 0 5880734 6052930 6708753 6405588 6067432 31115437 0 0 0 31115437 7274 11324 9944 8966 1470 38978 0 7274 11324 9944 8966 1470 38978 0 0 5888008 6064254 6718697 6414554 6068902 31154415 0.99875 0.99876 0.00125 0.00124 X false false false false false false false false true 2406 2406 false LOBBYING ACTIVITY EXPLANATION SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS A MEMBER OF THE ILLINOIS HEALTH CARE ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION IS ALLOCATED TOWARDS LOBBYING EFFORTS PERFORMED ON BEHALF OF THIS ORGANIZATION. THIS ALLOCATION AMOUNTED TO $2,406. false true 179216 179216 7538537 2296125 5242412 0 0 943699 859515 84184 635566 333864 301702 5807514 0 DUE TO AFFILIATES 1306884 1306884 X 6068902 6068902 6068902 6686726 6686726 6686726 ESCROW AND CUSTODIAL ARRANGEMENTS SCHEDULE D, PART IV; QUESTION 2B THE ORGANIZATION IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE ORGANIZATION HAS FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTIJON OF THE FUNDS TO THE RESIDENTS. THE AMOUNT IS BOOKED ON THE BALANCE SHEET AS CASH IN PATIENT FUND AND RESIDENT TRUST LIABILITY. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THIS ORGANIZATION FOR THE YEARS ENDED AUGUST 31, 2013 AND AUGUST 31, 2012; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S YEAR ENDED AUGUST 31, 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: OAKVIEW HEIGHTS CONTINUOUS CARE & REHAB CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. OAKVIEW HEIGHTS CONTINUOUS CARE & REHAB CENTER FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND ILLINOIS STATE JURISDICTION. OAKVIEW HEIGHTS CONTINUOUS CARE & REHAB CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL AND ILLINOIS STATE INCOME TAX EXAMINATION BY TAX AUTHORITIES FOR YEARS BEFORE 2010. TARA MILITONI DAUGHTER - SCOTT COLE 48579 COMPENSATION false DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 2 GREG STEVENS AND RONNIE STEVENS - FAMILY RELATIONSHIP KENNETH CURTIS AND MARY MARTHA CURTIS - FAMILY RELATIONSHIP DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 3 EFFECTIVE APRIL 17, 2012, THE ORGANIZATION AND ITS RELATED TAX-EXEMPT AFFILIATES OUTSOURCED ITS FINANCE DEPARTMENT TO BKD, LLP. A DIFFERENT ACCOUNTING FIRM PREPARES AND ISSUES THE AUDITED FINANCIAL STATEMENTS. THIS ARRANGEMENT WAS TERMINATED PRIOR TO THE END OF THIS ORGANIZATION'S CURRENT FISCAL YEAR. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 GENERAL BAPTIST NURSING HOME BOARD, INC. ("GBNHB") IS THE SOLE MEMBER OF THIS ORGANIZATION. GBNHB HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE ORGANIZATION'S BOARD ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND INDIVIDUALS INCLUDING THE CHIEF EXECUTIVE OFFICER, CONTROLLER AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. THE ORGANIZATION'S AMENDED FEDERAL FORM 990 WAS ALSO PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT THE SIGNED CONFLICT OF INTEREST FORMS BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REPORTED TO THE FULL BOARD OF TRUSTEES WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE BOARD WILL TAKE ACTION TO ADDRESS THE CONFLICT. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE COMPENSATION AND BENEFITS OF SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER, ARE REVIEWED BY THE BOARD OF TRUSTEES TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE BOARD REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE OF EXTERNAL CONSULTANTS TO ENSURE TOTAL COMPENSATION OF THESE INDIVIDUALS IS REASONABLE AND REFLECTS FAIR MARKET VALUE. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF ILLINOIS SECRETARY OF STATE. THE FEDERAL FORM 1023 AND ALL ATTACHMENTS CAN BE OBTAINED UPON REQUEST DIRECTLY FROM THE ORGANIZATION. COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J The organization's Chief Financial Officer, Brett Millikin, was hired on August 27, 2013 and, accordingly, there is no reportable compensation on this Form 990 as he did not receive either a 2012 Form W-2 or Form 1099. His 2013 Form W-2 compensation and related employee benefits will be reported on the Form 990 for the fiscal year ended August 31, 2014. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF GENERAL BAPTIST NURSING HOME BOARD, INC. AND ALL AFFILIATES; NOT SOLELY THIS ORGANIZATION. GENERAL BAPTIST NURSING HOME BOARD INC 1287 W NORTH STREET PIGGOTT AR 72454 450521836 ADMIN AR 501(C)(3) 509(A)(3) NA false GENERAL BAPTIST NURSING HOME INC 17108 US HIGHWAY 62 CAMPBELL MO 63933 430703645 NURSING HOME MO 501(C)(3) 509(A)(2) GBNHB INC false GENERAL BAPTIST ASSISTED LIVING FACILITY 1200 GORDON DUCKWORTH DRIVE PIGGOTT AR 72454 261345353 ASST LIVING AR 501(C)(3) 509(A)(2) GBNHB INC false GENERAL BAPTIST NURSING HOME OF PIGGOTT 450 SOUTH 9TH AVENUE PIGGOTT AR 72454 352438593 NURSING HOME AR 501(C)(3) 509(A)(2) GBNHB INC false false false false true true false false false false false false false true false true true false false false GENERAL BAPTIST NURSING HOME BOARD INC M 296083 COST TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V GENERAL BAPTIST NURSING HOME BOARD, INC., THE TAX-EXEMPT PARENT OF FOUR RELATED TAX-EXEMPT ORGANIZATIONS ALL OF WHICH PROVIDE HEALTHCARE SERVICES TO INDIVIDUALS ON A NON-DISCRIMINATORY BASIS WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY. THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR ITS TAX-EXEMPT AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.