2011-08-11T10:49:19-05:00 2010-09-30 RSM MCGLADREY INC 117 E MAIN ST STE 210 GALESBURG IL 61401 990 2009-10-01 371138846 DESERT HEALTH CARE FACILITIES INC DESE 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 RONALD WILSON 3093431550 2011-08-03 1 BEN MCMAHAN 3093428026 2009 2016-02-24 21:20:13Z CHARLES MCARTHUR 285 SOUTH FARNHAM STREET GALESBURG IL 61401 20585808 0 X N/A X 1984 NV DHCF, INC. PROVIDES & OPERATES NURSING & ASSISTED LIVING FACILITIES FOR THE ELDERLY. 5 4 576 17 0 0 646 1210 19687017 20577136 5914 7462 0 19693577 20585808 10000 15000 0 8464565 8866002 0 0 9930970 11542684 18405535 20423686 1288042 162122 6893225 6632291 5231166 4808110 1662059 1824181 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 18911337 15000 20577136 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. 18911337 1 0 0 1 0 0 0 0 0 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 24 0 1 576 1 0 0 0 0 0 0 0 0 0 5 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X X RON WILSON RFMS INC 3093431550 285 SOUTH FARNHAM GALESBURG IL 61401 JACK BIDDISON 2.00 X X 2000 0 0 cHARLES MCARTHUR 2.00 X X 3000 0 0 charles perry 2.00 X 3000 0 0 IRWIN JANN 2.00 X 3000 0 0 JERRY DUBOIS 2.00 X X 0 0 0 RON WILSON RFMS INC 10.00 X 0 0 121196 11000 0 121196 0 0 0 0 ALLIANCE REHABILITATION PO BOX 202 ELKO NV 89803 THERAPY 510270 REHAB SERVICES OF NEVADA 52 COMMERICAL WAY FALLON NV 89406 THERAPY 437484 RFMS Inc 285 SOUTH FARNHAM GALESBURG IL 61401 ADMINISTRATIVE SERVICES 435600 MOUNTAIN LAND REHABILITATION PO BOX 711185 salt lake city UT 84171 THERAPY 244976 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM GALESBURG IL 61401 SUPPORT SERVICES 47680 4 1210 1210 MEDICARE & MEDICAID 623000 13931251 13931251 RESIDENT PRIVATE PAY 623000 6538185 6538185 RESIDENT THERAPY 623000 90798 90798 OTHER INCOME 623000 16902 16902 20577136 7462 7462 20585808 20577136 0 7462 15000 15000 17283 17283 7632178 7437568 194610 30768 29983 785 556022 541844 14178 629751 613693 16058 510750 283983 226767 92431 92431 70910 70910 4181 4181 1362099 1360820 1279 220528 198475 22053 125032 96260 28772 68131 54505 13626 3716787 3607444 109343 73123 68085 5038 29728 24302 5426 20905 20905 248896 236451 12445 154670 144670 10000 SUPPLIES & SMALL EQUIP. 2357698 2357698 MEDICAID ASSESSMENT TAX 1685631 1685631 UNCOLLECTIBLE CHARGES 583434 583434 EQUIPMENT RENT & MAINT. 120512 119988 524 SUBSCRIPTIONS & Fees 80375 25369 55006 16863 9568 7295 20423686 18911337 1512349 0 157117 158255 1588866 901177 3607993 3656473 357539 265341 3309155 1872243 1010175 1436912 10000 10000 161535 204133 6893225 6632291 1368131 1521511 3765667 3183576 97368 103023 5231166 4808110 X 1662059 1824181 1662059 1824181 6893225 6632291 X 1 0 1 X 0 X 1903 646 1210 3759 14929783 16905777 18053417 19687017 20577136 90153130 14929783 16905777 18055320 19687663 20578346 90156889 0 0 0 90156889 8772 13743 16378 5914 7462 52269 8772 13743 16378 5914 7462 52269 14938555 16919520 18071698 19693577 20585808 90209158 0.99940 0.99940 0.00060 0.00060 X 4181 4181 18911337 18915518 1000000 250000 0 0 963909 1000000 998361 1000000 3962270 5943405 3101 2273 4020 4181 13575 240977 250000 249590 250000 990567 1485851 323141 85139 238002 2730457 1603465 1126992 255557 183639 71918 1436912 RESIDENT SECURITY DEPOSITS 38400 DUE TO RESIDENTS 64623 103023 Part X: Description of Uncertain Tax Positions Under FIN 48: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVEUNE CODE. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. THE FINANCIAL ACCOUNTING STANDARDS BOARD ISSUED NEW GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION ADOPTED THIS NEW GUIDANCE FOR THE YEAR ENDED SEPTEMBER 30, 2010. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSTIONS 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 2006. 1 Nevada Healthcare Association 4550 W Oakey Blvd Suite 99 B LAS VEGAS NV 89102 880162783 501(C)(6) 15000 GENERAL SUPPORT 0 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, 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 DIRECTORS COMMON TO DHCF & LTC ARE CHARLES PERRY & IRWIN JANN. 71520 MANAGEMENT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCRIBED ABOVE IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. CHARLES PERRY, WHO IS A DIRECTOR OF DESERT HEALTH CARE FACILITIES, INC. (DHCF), AND LTC SUPPORT SERVICES, LLC, RECEIVEd DIRECTOR'S FEES OF $1,000 FROM LTC SUPPORT SERVICES, LLC, for the fiscal year ending september 30, 2010. IRWIN JANN, WHO IS A DIRECTOR OF DESERT HEALTH CARE FACILITIES, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVEd DIRECTOR'S FEES OF $1,000 AND ANNUAL COMPENSATION OF $48,000 FROM LTC SUPPORT SERVICES, LLC, for the fiscal year ending september 30, 2010. 0 Form 990, Part VI, Section A, line 3 THE ORGANIZATION RECEIVES MANAGEMENT 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 12.5% OF LTC SUPPORT SERVICES, LLC. THE REMAINING 87.5% 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 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. 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., AND THE COMPENSATION REPORTED IN COLUMN F REPRESENTS 100% OF THE WAGES AS REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2009. THE COMPENSATION AMOUNT HAS NOT BEEN PRORATED BASED ON TIME SPENT PER ORGANIZATION. FORM 990, PART XI, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE COMPILATION AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ELKO RUBY VISTA LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 272887649 not in use during fiscal year ending 9/30/2010 NV 0 0 N/A