2011-05-12T17:02:46-05:00 2010-06-30 RSM MCGLADREY INC 117 E MAIN ST SUITE 210 GALESBURG IL 61401 990 2009-07-01 371223609 COMMUNITY RESIDENTIAL CENTERS INC COMM 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 STAN SYDLOWSKI 3093431550 2011-05-09 1 BEN MCMAHAN 3093428026 2009 2016-02-24 21:20:13Z STAN SYDLOWSKI 285 SOUTH FARNHAM STREET GALESBURG IL 61401 10067859 0 X N/A X 1987 IL TO PROVIDE & OPERATE LONG-TERM CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED. 4 4 326 48 0 0 19811 16802 10149763 10042712 11061 2376 4776 5969 10185411 10067859 0 0 6839608 7162523 0 0 3383806 3355879 10223414 10518402 -38003 -450543 11566579 11570279 7474930 7929173 4091649 3641106 THE MISSION OF THE ORGANIZATION IS ARTICULATED IN ITS ARTICLES OF INCORPORATION AS FOLLOWS:THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARTIABLE 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 9992326 10042712 ALL PROGRAM SERVICES RELATE TO PROVIDING AND OPERATING LONG-TERM CARE FACILITIES AND OTHER RELATED SERVICES TO THE DEVELOPMENTALLY DISABLED AND ELDERLY. 9992326 1 0 0 0 0 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 1 0 0 0 0 1 0 0 0 0 1 14 0 1 326 1 0 0 0 0 0 0 0 0 0 4 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IL X X RON WILSON RFMS INC 3093431550 285 SOUTH FARNHAM STREET GALESBURG IL 61401 GARY BRUINGTON 2.00 X 4000 0 0 STAN SYDLOWSKI 2.00 X X 3000 0 0 CHARLES WESTBAY 2.00 X X 4000 0 0 DAVID BEVERSDORF 2.00 X 4000 0 0 RON WILSON RFMS INC 10.00 X 0 0 121196 15000 0 121196 0 0 0 0 RFMS INC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 ADMINISTRATIVE SERVICES 279510 MCGLADREY & PULLEN LLP 5155 PAYSPHERE CIR CHICAGO IL 60674 ACCOUNTING SERVICES 152730 LTC SUPPORT SERVICES LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 SUPPORT SERVICES 81000 3 16802 16802 MEDICARE & MEDICAId 623000 8438806 8438806 RESIDENT PRIVATE PAY 623000 1506401 1506401 AID TRAINING INCOME 623000 66242 66242 SUPPORT SERVICES incom 623000 31263 31263 10042712 2376 2376 5969 5969 5969 10067859 10042712 0 8345 11000 11000 5768257 5693148 75109 44876 44292 584 890620 879023 11597 447770 441940 5830 360510 212655 147855 19747 19747 152860 152860 57514 57514 10974 9877 1097 50255 38782 11473 683730 638108 45622 37225 36848 377 360626 342358 18268 59863 43803 16060 SUPPLIES & SMALL EQUIP. 909328 909328 MEDICAID ASSESSMENT TAX 552640 552640 EQUIPMENT RENT & MAINT. 75625 75559 66 SUBSCRIPTIONS & FEES 11523 7090 4433 BACKGROUND CHECKS 3657 3657 9802 5704 4098 10518402 9992326 526076 0 244024 108195 1528876 1259018 2140290 2750859 186841 105425 8856445 2692392 6347527 6164053 10000 10000 1109021 1172729 11566579 11570279 935939 973916 5446089 5292056 1092902 1663201 7474930 7929173 X 4091649 3641106 4091649 3641106 11566579 11570279 X 0 1 1 X 0 X 44781 138509 15514 19811 16802 235417 12194151 9314632 9691869 10149763 10042712 51393127 12238932 9453141 9707383 10169574 10059514 51628544 0 0 0 51628544 50263 44274 29014 8149 2376 134076 50263 44274 29014 8149 2376 134076 7888 1202 4776 5969 19835 12289195 9505303 9737599 10182499 10067859 51782455 0.99700 0.99590 0.00260 0.00380 X Schedule A, Part II, Line 12, Explanation of Other Income: SPECIAL EVENTS & ACTIVITIES 184000 184000 6351515 1442798 4908717 1433746 699625 734121 556143 364531 191612 331041 185438 145603 6164053 RESIDENT TRUST accounts 13201 UNAMORTIZED LOAN COSTS 126534 ESCROW DEPOSITS 21490 REPLACEMENTS RESERVE 769194 OTHER RECEIVABLES 242310 1172729 Refundable Balance Payable to 501(c)(3) unrelated party 1650000 due to residents, trust accounts 13201 1663201 10067859 10518402 -450543 0 -450543 10067859 0 10067859 0 10067859 10518402 0 10518402 0 10518402 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 REVENUE 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 JUNE 30, 2010. 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 2006. LTC SUPPORT SERVICES (LTC) TWO DIRECTORS COMMON TO CRC & LTC: STAN SYDLOWSKI & CHARLES WESTBAY. 81000 MANAGEMENT SERVICES ARE PROVIDED BY LTC SUPPORT SERVICES, LLC, AS DESCRIBED ABOVE IN SCHEDULE O RELATIVE TO PART VI, SECTION A, LINE 3. STAN SYDLOWSKI, WHO IS A DIRECTOR OF COMMUNITY RESIDENTIAL CENTERS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING JUNE 30, 2010. CHARLES WESTBAY, WHO IS A DIRECTOR OF COMMUNITY RESIDENTIAL CENTERS, INC., AND LTC SUPPORT SERVICES, LLC, RECEIVED DIRECTOR'S FEES OF $0 FROM LTC SUPPORT SERVICES, LLC, FOR THE FISCAL YEAR ENDING JUNE 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. COMMUNITY RESIDENTIAL CENTERS, 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 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 F: RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH COMMUNITY RESIDENTIAL CENTERS, 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 AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. CRC CHERRY STREET FACILITY LLC 285 SOUTH FARNHAM STREET GALESBURG IL 61401 421578299 OWNS FACILITY OPERATED BY COMMUNITY RESIDENTIAL CENTERS, INC. IL 578113 6102151 N/A