2018-11-05T14:29:27-06:00 2017-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2017-01-01 112466996 CRYSTAL RUN VILLAGE INC CRYS 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 109413951 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 8456924444 2018-10-29 1 BETTINA LIPPHARDT P00956232 3154227109 216.171.181.162 2018-10-29 11:44:53 ED P 77986664F491A887631E1BA0CA56BE86717A9302 2BDDB164932E0AE828F8C5D4ABBF320D7782B179 2017 2018-06-14 16:35:46Z WILLIAM SAMMIS 601 STONY FORD ROAD MIDDLETOWN NY 109413951 37189020 0 X HTTP://CRVI.ORG/ X 1978 NY THE ORGANIZATION FOCUSES ON THE PRINCIPLES OF ENDOWMENT, OPPORTUNITY, DIGNITY AND INDEPENDENCE FOR PEOPLE WITH DISABILITIES AND ENSURES THE INDIVIDUALS IN ITS CARE HAVE AS SUCCESSFUL A LIFE AS POSSIBLE THROUGH MEANINGFUL PARTICIPATION IN THEIR COMMUNITIES. THE FUTURE EMPHASIS FOR THE ORGANIZATION IS TO CONTINUE PIONEERING AND EXPANDING THE SCOPE OF SERVICES AVAILABLE FOR PEOPLE IN THE HUDSON VALLEY AND CATSKILL REGIONS THROUGH A VARIETY OF RESIDENTIAL, VOCATIONAL, SKILLS DEVELOPMENT, SERVICE COORDINATION AND CASE MANAGEMENT PROGRAMS. 11 11 967 22 0 0 70399 40 38462168 37047293 13192 22605 81905 102955 38627664 37172893 0 0 0 0 27567394 28593893 0 0 0 8116681 8330353 35684075 36924246 2943589 248647 26738996 28120910 9698933 10849203 17040063 17271707 X TO PROVIDE SERVICES FOR THE INTEGRATION AND EMPOWERMENT OF PEOPLE WITH DISABILITIES. 0 0 28535729 33167403 RESIDENTIAL SERVICES - COMPREHENSIVE REHAB AND HABILITATION SERVICES TO PERSONS WITH DEVELOPMENTAL DISABILITIES AND/OR MENTAL ILLNESS INCLUDING PROVISIONS OF A HOME LIKE ENVIRONMENT. NUMBER OF CLIENTS SERVED: 342 1814832 2312047 COMMUNITY BASED SERVICES - PROVIDES RESPITE AND/OR SKILL BUILDING SUPPORT TO DEVELOPMENTALLY DISABLED INDIVIDUALS WITHIN THE COMMUNITY. NUMBER OF CLIENTS SERVED: 320 1615583 1567843 DAY SERVICES - PROVIDES SUPPORT AND TRAINING FOR DEVELOPMENTALLY DISABLED INDIVIDUALS WHILE THEY ARE WORKING IN THE COMMUNITY WITH ENDING RESULT AS JOB REPLACEMENT. NUMBER OF CLIENTS SERVED: 63 102955 OTHER RELATED REVENUE 102955 31966144 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 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 1 0 0 0 1 41 0 1 967 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X WILLIAM BOGDAN 8456924444 601 STONY FORD ROAD MIDDLETOWN NY 109413951 JOHN DUNNE PRESIDENT 1.00 1.00 X X 0 0 0 BETH POST VICE PRESIDENT 1.00 1.00 X X 0 0 0 MICHAEL FLYNN TREASURER 1.00 1.00 X X 0 0 0 JAMES LAWLER SECRETARY 1.00 1.00 X X 0 0 4545 WILLIAM FIORAVANTI FORMER PRESIDENT 1.00 1.00 X 0 0 0 PAM FANDL DIRECTOR 1.00 1.00 X 0 0 0 SUSAN KENNEDY DIRECTOR 1.00 1.00 X 0 0 0 LEWIS SIEGEL DIRECTOR 1.00 1.00 X 0 0 0 MICAH HOERNIG DIRECTOR 1.00 1.00 X 0 0 0 YVONNE D COMEAU DIRECTOR 1.00 1.00 X 0 0 0 CORINNE CODY DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 50.00 5.00 X 252969 0 21600 WILLIAM BOGDAN CHIEF FINANCIAL OFFICER 50.00 5.00 X 148733 0 15057 NICOLE WILLNER CHIEF PROGRAM OFFICER 50.00 5.00 X 143804 0 22927 AUDRA COON DIRECTOR OF FINANCE 50.00 5.00 X 113084 0 20458 DALE FRANCIS II CHIEF INFORMATION OFFICER 40.00 5.00 X 101087 0 21643 759677 0 106230 5 0 1 0 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 ACCOUNTING 216482 HEALTHCARE PERSPECTIVE LLC 1037 E COOKE ROAD COLUMBUS OH 43224 HEALTH CARE CONSULTING 171861 JASON T ANDERSON ARCHITECT PC 25 WALLKILL AVENUE MONTGOMERY NY 12549 ARCHITECTURE 119617 THIELE LANDSCAPING THIELE LANDSCAPING GLEN SPEY NY 12737 LANDSCAPING 110501 4 40 40 MEDICAID 624200 32770925 32770925 PARTICIPANT FEES 624200 3407161 3407161 FOOD STAMP REVENUE 624200 559857 559857 PRIOR PERIOD REVENUE 624200 170476 170476 FEE FOR SERVICES 624200 82265 82265 56609 56609 37047293 22290 22290 16442 16127 315 315 315 OTHER INCOME 900099 102955 102955 102955 37172893 37150248 0 22605 442411 442411 21931611 19768121 2163490 498291 433828 64463 2791311 2531222 260089 2930269 2626863 303406 95038 95038 134975 134975 475815 113444 362371 910393 560337 350056 1656806 1447031 209775 787383 755952 31431 67254 18394 48860 203291 201364 1927 1386776 1243628 143148 396373 310095 86278 FOOD 824010 816125 7885 REPAIRS AND MAINTENANCE 408862 386241 22621 MISCELLANEOUS 384998 249569 135429 PARTICIPANT EXPENSE 280075 266562 13513 318304 237368 80936 36924246 31966144 4958102 0 181825 194264 7733039 7473693 2570106 2961390 16592 17728 548813 446426 32501777 19606711 11769515 12895066 3919106 4132343 26738996 28120910 4538974 5322802 1113897 959264 744755 748146 2871783 2326248 429524 1492743 9698933 10849203 X 17021023 17271707 19040 0 17040063 17271707 26738996 28120910 248647 -17003 0 X X 0 1 X 1 0 X 91577 74532 341798 70399 40 578346 39442421 37891695 38185869 38462168 37047293 191029446 39533998 37966227 38527667 38532567 37047333 191607792 0 0 0 191607792 22602 21928 22604 22111 22290 111535 22602 21928 22604 22111 22290 111535 127252 529680 95207 81905 102955 936999 39683852 38517835 38645478 38636583 37172578 192656326 0.99460 0.99470 0.00060 0.00060 X 0 0 3195854 3195854 20975632 14536165 6439467 6644879 5070546 1574333 1685412 1685412 12895066 CLIENT FUNDS 748146 DUE FROM AFFILIATES 2543780 DEBT SERVICE RESERVE FUND 683392 SECURITY DEPOSITS 33652 ASSETS LIMITED TO USE 123373 4132343 DUE TO FUNDING SOURCES 422074 OTHER LIABILITIES 84638 LINE OF CREDIT 986031 1492743 37155890 -17003 -17003 37172893 0 37172893 36924246 0 36924246 0 36924246 X X X X 0 0 0 0 0 0 0 0 0 WILLIAM SAMMIS CHIEF EXECUTIVE OFFICER 252036 0 0 0 933 0 14358 0 7242 0 274569 0 0 0 WILLIAM BOGDAN CHIEF FINANCIAL OFFICER 148227 0 0 0 506 0 0 0 15057 0 163790 0 0 0 NICOLE WILLNER CHIEF PROGRAM OFFICER 143309 0 0 0 495 0 4261 0 18666 0 166731 0 0 0 A ORANGE COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141603415 684595DR9 2006-06-15 3635000 FINANCING FACILITIES CONSTRUCTION 0 0 1 B SULLIVAN COUNTY INDUSTRIAL DEVELOPMENT AGENCY 141651045 865272AY4 2006-06-15 1855000 FINANCING FACILITIES CONSTRUCTION 0 0 1 A 3635000 363500 72700 3198800 2006 0 0 1 1 B 1855000 185500 37100 1632400 2006 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND SUBMITTED TO THE CHIEF EXECUTIVE OFFICER FOR ADDITIONAL REVIEW AND QUESTIONS. AFTER THEIR REVIEW IS COMPLETE, THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND QUESTIONS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO SIGN A CONFLICT OF INTEREST DECLARATION ANNUALLY. OVERSIGHT IS PROVIDED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER COMPLETES AN ANNUAL SELF-EVALUATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS COMPLETES AN ANNUAL EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE PRESIDENT OF THE BOARD OF DIRECTORS COMPILES THE RESULTS AND PRESENTS THE RESULTS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MEETS TO DISCUSS THE RESULTS AND PRESENTS THEM TO THE FULL BOARD OF DIRECTORS. AN INDEPENDENT ACCOUNTING FIRM PROVIDES THE BOARD OF DIRECTORS WITH COMPARATIVE SALARY DATA FROM SIMILAR ORGANIZATIONS IN THE REGION AND PROVIDES THE BOARD OF DIRECTORS WITH THEIR RECOMMENDATION FOR THE CHIEF EXECUTIVE OFFICER'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD REVIEWS THE RESULTS OF THE AUDIT AND HAS RESPONSIBILITY FOR FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS AS WELL AS APPOINTING OUTSIDE ACCOUNTANTS. CRYSTAL RUN VILLAGE FOUNDATION INC 601 STONY FORD ROAD MIDDLETOWN NY 10941 141707425 SUPPORT NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 133578723 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 133646053 RENTAL NY 501(C)(3) LINE 7 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN BORROWER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061391628 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION 601 STONY FORD ROAD MIDDLETOWN NY 10941 061461003 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION II 601 STONY FORD ROAD MIDDLETOWN NY 10941 161521540 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION III 601 STONY FORD ROAD MIDDLETOWN NY 10941 061565999 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION IV 601 STONY FORD ROAD MIDDLETOWN NY 10941 061566006 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION V 601 STONY FORD ROAD MIDDLETOWN NY 10941 061614498 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 CRYSTAL RUN OWNER CORPORATION VI 601 STONY FORD ROAD MIDDLETOWN NY 10941 542073371 RENTAL NY 501(C)(3) LINE 11 CRYSTAL RUN VILAGE INC 1 1 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 CRYSTAL RUN OWNER CORPORATION K 173357 HUD APPROVED RATES CRYSTAL RUN OWNER CORPORATION V K 52398 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION K 66676 HUD APPROVED RATES CRYSTAL RUN BORROWER CORPORATION II K 59862 HUD APPROVED RATES CRYSTAL RUN VILLAGE FOUNDATION INC C FAIR MARKET VALUE