2016-06-27T15:42:09-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-01-01 431836344 BOONE COUNTY SENIOR CITIZENS SERVICES CORPORATION BOON 5734426060 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 COLLEEN HOLLESTELLE EXECUTIVE DIRECTOR 5734426060 2016-06-23 1 AMANDA TINNEY P01587658 3149254300 2015 2016-09-27 15:27:22Z THE BLUFFS COLLEEN HOLLESTELLE 3105 BLUFF CREEK DRIVE COLUMBIA MO 65201 10351435 0 X WWW.THEBLUFFSCOLUMBIA.ORG X 1999 MO BOONE COUNTY SENIOR CITIZEN SERVICES CORP. (DBA THE BLUFFS) HAS BEEN ORGANIZED FOR THE PROMOTION OF HEALTH CARE TO THE CITIZENS OF BOONE COUNTY, MISSOURI AND THE SURROUNDING AREAS. BOONE COUNTY SENIOR CITIZEN SERVICES CORP. PROVIDED 46,179 DAYS OF CARE DURING 2015. 7 7 303 125 0 0 7251 10005 9693720 10289118 -11927 7948 55904 44364 9744948 10351435 0 0 0 0 5008190 5301554 0 0 0 4556271 4548314 9564461 9849868 180487 501567 12019293 12403205 8575138 8457483 3444155 3945722 BOONE COUNTY SENIOR CITIZEN SERVICES CORP. (DBA THE BLUFFS) HAS BEEN ORGANIZED FOR THE PROMOTION OF HEALTH CARE TO THE CITIZENS OF BOONE COUNTY, MISSOURI AND THE SURROUNDING AREAS. BOONE COUNTY SENIOR CITIZEN SERVICES CORP. PROVIDED 46,179 DAYS OF CARE DURING 2015. 0 0 8913968 10289118 THE SERVICES PROVIDED BY BOONE COUNTY SENIOR CITIZEN SERVICES CORPORATION ARE: THE OPERATION OF A 132-BED SKILLED NURSING HOME WHICH PROVIDES 24-HOUR NURSING SERVICES AND OTHER RELATED SERVICES INCLUDING PHYSICAL THERAPY, THE ADMINISTRATION OF MEDICATION, HOSPICE CARE AND OTHER ACTIVITIES THAT NORMALLY OCCUR IN A NURSING HOME SETTING. APPROXIMATELY 50% OF THE RESIDENTS RECEIVE PUBLIC ASSISTANCE IN THE FORM OF MEDICAID OR MEDICARE. 8913968 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 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 6 0 303 1 0 0 0 0 0 0 0 0 0 0 X 7 7 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 JOHN KARLE BOARD MEMBER 3.00 X 0 0 0 DR JANE E BOSTICK BOARD VICE PRESIDENT 3.00 X X 0 0 0 BETTY WILSON BOARD PRESIDENT 3.00 X X 0 0 0 OWENETTA MURRAY BOARD MEMBER 3.00 X 0 0 0 HEATHER ARNOLD BOARD SECRETARY 3.00 X X 0 0 0 DR SID LEEPER BOARD MEMBER 3.00 X 0 0 0 SUSAN D BECKLENBERG BOARD TREASURER 3.00 X X 0 0 0 JANECE MARTIN BOARD MEMBER 3.00 X 0 0 0 GLENDA CASTROP BOARD MEMBER 3.00 X 0 0 0 ASHA SHAON DIRECTOR OF FINANCE 40.00 X 74921 0 2669 COLLEEN HOLLESTELLE EXECUTIVE DIRECTOR 40.00 X 83329 0 6605 158250 0 9274 0 0 0 0 PHYSICAL PERFORMANCE SYSTEMS 3527 WEST TRUMAN BLVD SUITE 300 JEFFERSON CITY MO 65109 THERAPY SERVICES 899353 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 LAUNDRY AND HOUSEKEEPING SERVICES 425136 UVANTA PHARMACY 2103 EAST ROCKHURST SUITE 108 SPRINGFIELD MO 65802 PHARMACY SERVICES 251885 3 10005 10005 MEDICARE & MEDICAID REVENUES 623000 5976712 5976712 NET PATIENT SERVICE REVENUE 623000 4312406 4312406 10289118 7948 7948 MISCELLANEOUS INCOME 623000 20942 20942 TRANSPORTATION 623000 15580 15580 BARBER/BEAUTY 623000 4590 4590 3252 3252 44364 10351435 10289118 0 52312 X 167524 167524 4069372 3908581 160791 21021 19392 1629 732602 675833 56769 311035 286933 24102 3234 3234 36950 36950 1352092 1247319 104773 11611 11611 292127 261699 30428 83866 83866 245364 187972 57392 22416 20679 1737 351917 269602 82315 533554 408753 124801 113940 87289 26651 NFRA/NFAC EXPENSE 597883 597883 ANCILLARY 464372 464372 FOOD 355083 355083 MISCELLANEOUS 45193 45193 38712 38712 9849868 8913968 935900 0 160 209 2644361 3290751 665371 697626 32765 39553 88885 76547 13301174 5114061 8467882 8187113 111527 107195 8342 4211 12019293 12403205 497415 562003 5381 5800 8072341 7889679 1 1 8575138 8457483 X 2999843 3517866 444312 427856 3444155 3945722 12019293 12403205 501567 0 X X 0 1 X 1 1 1 X 1655 484 460 7251 10005 19855 8723876 8964153 9494881 9693720 10289118 47165748 8725531 8964637 9495341 9700971 10299123 47185603 0 0 0 47185603 26066 10582 7096 6290 7948 57982 26066 10582 7096 6290 7948 57982 39538 44538 28188 55904 44364 212532 8791135 9019757 9530625 9763165 10351435 47456117 0.99430 0.99350 0.00120 0.00170 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: VENDING INCOME - 2011 AMOUNT: $ 1,321. 2012 AMOUNT: $ 1,605. 2013 AMOUNT: $ 1,397. 2014 AMOUNT: $ 1,348. 2015 AMOUNT: $ 1,254. MISC INCOME - 2011 AMOUNT: $ 33,552. 2012 AMOUNT: $ 37,569. 2013 AMOUNT: $ 22,468. 2014 AMOUNT: $ 13,978. 2015 AMOUNT: $ 20,942. LATE FEES - 2011 AMOUNT: $ 600. 2012 AMOUNT: $ 923. 2013 AMOUNT: $ 25. 2014 AMOUNT: $ 50. 2015 AMOUNT: $ 75. TRANSPORTATION - 2011 AMOUNT: $ 3,585. 2012 AMOUNT: $ 3,485. 2013 AMOUNT: $ 3,510. 2014 AMOUNT: $ 8,185. 2015 AMOUNT: $ 15,580. BARBER/BEAUTY - 2011 AMOUNT: $ 480. 2012 AMOUNT: $ 705. 2013 AMOUNT: $ 715. 2014 AMOUNT: $ 975. 2015 AMOUNT: $ 4,590. EMPLOYEE FUN COMMITTEE - 2012 AMOUNT: $ 251. 2013 AMOUNT: $ 73. 2015 AMOUNT: $ 610. REBATE INCOME - 2014 AMOUNT: $ 348. 2015 AMOUNT: $ 1,313. UNEMPLOYMENT REFUND CHECK - 2014 AMOUNT: $ 31,020. 0 1 X 740520 740520 9907609 3346685 6560924 100191 65835 34356 2552854 1701541 851313 8187113 GENERAL RESERVE 1 1 X 10351435 0 10351435 0 10351435 9849868 0 9849868 0 9849868 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: NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THESE FINANCIAL STATEMENTS. THE PROJECT IS A NONPROFIT CORPORATION UNDER IRS SECTION 501(C)(3) AND, THEREFORE, IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE PROJECT IS NOT A PRIVATE FOUNDATION AND CONTRIBUTIONS TO THE PROJECT QUALIFY AS A CHARITABLE DEDUCTION BY THE CONTRIBUTOR. THE PROJECT FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. 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. FORM 990, PART VI, SECTION B, LINE 11 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, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,247,319. MANAGEMENT AND GENERAL EXPENSES 104,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,352,092. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.