2018-11-15T11:40:16-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 431836344 BOONE COUNTY SENIOR CITIZENS SERVICES CORPORATION BOON 5734426060 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 COLLEEN HOLLESTELLE EXECUTIVE DIRECTOR 5734426060 2018-11-14 1 AMANDA VALLERO P01587658 3149254300 67.137.57.251 2018-11-14 19:01:51 CS P E1E601268EAC29A24F4038D8D81B030E691ED5BB 70545651873736B39CE34854CE8383AE7E7A4B44 2017 2019-02-21 02:37:17Z THE BLUFFS COLLEEN HOLLESTELLE 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 10262884 0 X WWW.THEBLUFFSCOLUMBIA.ORG X 1999 MO THE PROMOTION OF HEALTH CARE TO THE CITIZENS OF BOONE COUNTY, MISSOURI AND THE SURROUNDING AREAS. 8 8 328 126 0 0 1749 16989 10148106 10159676 -21019 -64435 29776 75743 10158612 10187973 0 0 0 0 5603523 5983916 0 0 0 4613643 4336017 10217166 10319933 -58554 -131960 12200443 11822358 8313275 8067150 3887168 3755208 X THE BLUFFS WORKS TO ENSURE THAT THE PEOPLE WE SERVE: RECEIVE HIGH-QUALITY, HEALTHCARE SERVICES ACCORDING TO THEIR NEEDS, EXPERIENCE "MOMENTS OF JOY" EVERY DAY, ARE CARED FOR WITH DIGNITY AND RESPECT BY COMPETENT, WELL-TRAINED AND PROFESSIONAL EMPLOYEES WHO LOVE THEIR WORK, AND WILL BENEFIT FROM OUR PARTICIPATION AS AN ACTIVE PARTNER WITH OTHER COMMUNITY ORGANIZATIONS IN HEALTH EDUCATION, SERVICE AND RESEARCH. 0 0 9162447 10159676 THE SERVICES PROVIDED BY BOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION ARE: THE OPERATION OF A MODERN 132-BED SKILLED NURSING HOME WHICH PROVIDES 24-HOUR NURSING SERVICES BY QUALIFIED AND EXPERIENCED LICENSED AND CERTIFIED STAFF. OTHER RELATED SERVICES INCLUDE PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, THE ADMINISTRATION OF MEDICATION, HOSPICE CARE AND OTHER ACTIVITIES THAT NORMALLY OCCUR IN A NURSING HOME SETTING. APPROXIMATELY 55% OF THE RESIDENTS RECEIVE PUBLIC ASSISTANCE IN THE FORM OF MEDICAID OR MEDICARE.OTHER ACTIVITIES INCLUDE FULLY-EQUIPPED COMMERCIAL KITCHEN WITH EXPERIENCED FOOD SERVICE STAFF, MONTHLY ACTIVITY CALENDAR WITH WIDE VARIETY OF DAILY OPTIONS, WEEKLY HAPPY HOUR, DAILY EXERCISE CLASSES, CHAPEL AND RELIGIOUS SERVICES, MOVIE NIGHTS AND COMMUNITY OUTINGS ON FACILITY BUS AND VAN. 9162447 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 328 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X COLLEEN HOLLESTELLE 5734426060 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 OWENETTA MURRAY BOARD PRESIDENT 3.00 X X 0 0 0 LORI POPEJOY VICE PRESIDENT 3.00 X X 0 0 0 JOHN KARLE BOARD TREASURER 3.00 X X 0 0 0 ROB MCEVER SECRETARY 3.00 X X 0 0 0 FRED PARRY COUNTY LIAISON 3.00 X 0 0 0 DR SID LEEPER BOARD MEMBER 3.00 X 0 0 0 KAY MURRAY BOARD MEMBER 3.00 X 0 0 0 SUSAN BECKLENBERG BOARD MEMBER 3.00 X 0 0 0 ASHA SHAON DIRECTOR OF FINANCE 40.00 X 82308 0 9320 COLLEEN HOLLESTELLE EXECUTIVE DIRECTOR 40.00 X 99306 0 13133 181614 0 22453 0 0 0 0 PHYSICAL PERFORMANCE SYSTEMS 3527 WEST TRUMAN BLVD SUITE 300 JEFFERSON CITY MO 65109 THERAPY SERVICES 683277 GUARDIAN PHARMACY SERVICES 2103 EAST ROCKHURST SUITE 108 SPRINGFIELD MO 65802 PHARMACY SERVICES 276004 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY AND HOUSEKEEPING SERVICES 205249 3 16989 16989 NET PATIENT SERVICE REVENUE 623000 5488520 5488520 MEDICARE & MEDICAID REVENUES 623000 4671156 4671156 10159676 10476 10476 74911 -74911 -74911 -74911 MISCELLANEOUS INCOME 623000 56117 56117 TRANSPORTATION 623000 7721 7721 BARBER/BEAUTY 623000 5825 5825 6080 6080 75743 10187973 10159676 0 11308 181615 181615 4589069 4312957 276112 35129 31759 3370 817086 738690 78396 361017 326379 34638 8818 8818 40347 40347 918604 809341 109263 25581 25581 379144 350083 29061 83639 83639 255070 195407 59663 32938 29778 3160 296464 227119 69345 574989 440496 134493 148039 113412 34627 NFRA/NFAC EXPENSE 632285 632285 ANCILLARY / MEDS 467747 467747 FOOD 363206 363206 EMPLOYEE APPRECIATION/E 26078 26078 83068 40149 42919 10319933 9162447 1157486 0 116 83 3382908 3307913 889996 922024 29200 17115 66221 93791 13630289 6152243 7828506 7478046 3496 3386 12200443 11822358 717546 659106 2446 11545 7593283 7396499 8313275 8067150 X 3475768 3360264 411400 394944 3887168 3755208 12200443 11822358 -131960 0 X X 0 1 X 1 1 1 X 460 7251 10005 1749 16989 36454 9494881 9693720 10289118 10148106 10159676 49785501 9495341 9700971 10299123 10149855 10176665 49821955 0 0 0 49821955 7096 6290 7948 10478 10476 42288 7096 6290 7948 10478 10476 42288 28188 55904 44364 29776 75743 233975 9530625 9763165 10351435 10190109 10262884 50098218 0.99450 0.99500 0.00080 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING INCOME - 2013 AMOUNT: $ 1,397. 2014 AMOUNT: $ 1,348. 2015 AMOUNT: $ 1,254. 2016 AMOUNT: $ 1,249. 2017 AMOUNT: $ 1,395. MISC INCOME - 2013 AMOUNT: $ 22,468. 2014 AMOUNT: $ 13,978. 2015 AMOUNT: $ 20,942. 2016 AMOUNT: $ 9,979. 2017 AMOUNT: $ 56,117. LATE FEES - 2013 AMOUNT: $ 25. 2014 AMOUNT: $ 50. 2015 AMOUNT: $ 75. 2017 AMOUNT: $ 25. TRANSPORTATION - 2013 AMOUNT: $ 3,510. 2014 AMOUNT: $ 8,185. 2015 AMOUNT: $ 15,580. 2016 AMOUNT: $ 11,075. 2017 AMOUNT: $ 7,721. BARBER/BEAUTY - 2013 AMOUNT: $ 715. 2014 AMOUNT: $ 975. 2015 AMOUNT: $ 4,590. 2016 AMOUNT: $ 5,820. 2017 AMOUNT: $ 5,825. EMPLOYEE FUN COMMITTEE - 2013 AMOUNT: $ 73. 2015 AMOUNT: $ 610. 2016 AMOUNT: $ 234. 2017 AMOUNT: $ 3,524. REBATE INCOME - 2014 AMOUNT: $ 348. 2015 AMOUNT: $ 1,313. 2016 AMOUNT: $ 1,419. 2017 AMOUNT: $ 1,136. UNEMPLOYMENT REFUND CHECK - 2014 AMOUNT: $ 31,020. 0 1 X 740520 740520 10079389 4004221 6075168 106291 80675 25616 2704089 2067347 636742 7478046 X 10262883 74910 74910 10187973 0 10187973 10394843 74910 74910 10319933 0 10319933 PART IV, LINE 2B: THE PROJECT IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE PROJECT HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 74,910. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 74,910. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AFTER PREPARATION BUT BEFORE FILING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ROUTINELY MONITOR THE CONFLICT OF INTEREST POLICY FOR POTENTIAL OR ACTUAL CONFLICTS AND ADDRESS THEM AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 SALARY FOR THE EXECUTIVE DIRECTOR IS REVIEWED AND ASSIGNED BY THE INDEPENDENT BOARD OF DIRECTORS USING WAGE COMPARISONS FOR INDIVIDUALS IN THE SAME POSITION IN SIMILAR ORGANIZATIONS OF THE SAME SIZE. THE EXECUTIVE DIRECTOR RECEIVES AN ANNUAL EVALUATION OF WORK PERFORMANCE AND SALARY DECISIONS ARE BASED UPON THIS. THE EXECUTIVE DIRECTOR REVIEWS AND ASSIGNS KEY EMPLOYEE SALARIES, WITH INDEPENDENT BOARD APPROVAL USING WAGE COMPARISONS FOR INDIVIDUALS IN THE SAME POSITIONS IN SIMILAR ORGANIZATIONS OF THE SAME SIZE. EMPLOYEES RECEIVE AN ANNUAL EVALUATION AND MAY EARN UP TO 2% INCREASE BASED UPON THE EVALUATION. FORM 990, PART VI, SECTION C, LINE 19 LEGALLY THE ORGANIZATION IS NOT REQUIRED TO PROVIDE THESE DOCUMENTS TO THE PUBLIC, BUT THEY WILL BE PROVIDED UPON REQUEST. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.