2016-02-11T10:12:02-06:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2014-10-01 205838963 CRYSTAL OAKS LONG TERM CARE CRYS 6369331818 1500 CALVARY CHURCH ROAD CRYSTAL CITY MO 63019 JAMES ARNOLD CEO 6369331818 2016-02-08 1 AMANDA TINNEY P01587658 3149254300 2014 2016-08-17 19:52:53Z JAMES ARNOLD 1500 CALVARY CHURCH ROAD CRYSTAL CITY MO 63019 12739414 0 X WWW.CRYSTALOAKS.ORG X 2006 MO CRYSTAL OAKS LONG TERM CARE OPERATED AS AN ASSISTED LIVING AND SKILLED NURSING FACILITY OFFERING DEMENTIA CARE, LONG TERM CARE AND REHABILITATION. 7 6 357 6 0 0 81142 43379 12217602 12197083 9300 19231 471126 275690 12779170 12535383 0 0 0 0 7174815 7733033 0 0 0 5420882 4743872 12595697 12476905 183473 58478 13320587 12858289 13817670 13296894 -497083 -438605 CRYSTAL OAKS LONG TERM CARE OPERATED AS AN ASSISTED LIVING AND SKILLED NURSING FACILITY OFFERING DEMENTIA CARE, LONG TERM CARE AND REHABILITATION. 0 0 10599620 12370175 CRYSTAL OAKS PROVIDED A TOTAL OF 60,878 PATIENT CARE DAYS DURING THE FISCAL YEAR OF 2015. 17,036 WERE IN THE ASSISTED LIVING AREA, AND 8,486 WERE SKILLED REHAB TO HOME PATIENTS. THE OTHER 35,356 PATIENT DAYS WERE AT THE LONG TERM CARE SKILLED LEVEL OF CARE. CRYSTAL OAKS OPERATES A UNIT FOR ALZHEIMER PATIENTS, "ALDEN PLACE" AT THE ASSISTED LIVING AND "SAVANNAH PLACE" IN THE SKILLED UNIT AS WELL AS A SHORT STAY REHABILITATION UNIT AS A SERVICE TO THE COMMUNITY. THE AVERAGE DAILY CENSUS FOR FY2015 WAS 92.7% OCCUPANCY. 10599620 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 45 0 357 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LINDA TWOMEY 6369331896 1500 CALVARY CHURCH ROAD CRYSTAL CITY MO 63019 JAMES V ARNOLDJR CEO 40.00 X X 130750 0 744 WILLIAM DODSON BOARD CHAIR 1.00 X X 0 0 0 DAN ECKENFELS VICE-CHAIR 1.00 X X 0 0 0 RON PRESENT BOARD MEMBER 1.00 X 0 0 0 TONY CASEY BOARD MEMBER 1.00 X 0 0 0 NANCY JOHNSON SECRETARY/TREASURER 1.00 X X 0 0 0 JOHN WINKELMAN BOARD MEMBER 1.00 X 0 0 0 LINDA TWOMEY CFO 40.00 X 66567 0 0 197317 0 744 1 0 0 0 SELECT REHABILITATION INC P O BOX 809056 CHICAGO IL 60680 THERAPY SERVICES 479101 UVANTA 2000 WESTPORT CENTER DR SAINT LOUIS MO 63146 PHARMACY SERVICES 325201 FAULTLESS LAUNDRY COMPANY PO BOX 795145 SAINT LOUIS MO 63179 LAUNDRY SERVICES 160388 3 5521 37858 4319 43379 RESIDENT REVENUE 623000 12197083 12197083 12197083 19231 19231 357229 184137 173092 173092 173092 35991 5521 19894 16097 16097 EQUIPMENT RENTAL 900099 47359 47359 MEAL 900099 33085 33085 TRANSPORTATION 900099 3429 3429 2628 2628 86501 12535383 12370175 0 121829 199447 199447 5748748 5378347 370401 1298231 1165412 132819 486607 436823 49784 35505 35505 30000 30000 865790 690947 174843 43110 43110 1491625 1308240 183385 34247 34247 1007752 744831 262921 8868 7961 907 407570 301235 106335 526342 389021 137321 88631 65507 23124 MISCELLANEOUS 92580 68426 24154 FOUNDATION 44630 44630 REPAIRS 42870 42870 BAD DEBT 24352 24352 12476905 10599620 1877285 0 663210 21504 0 704179 1302686 1269344 54370 65992 49306 91641 13847801 3299905 11040282 10547896 148876 113892 61857 43841 13320587 12858289 1330235 1096451 18662 14461 12468739 12154405 34 31577 13817670 13296894 X -497833 -438605 750 0 -497083 -438605 13320587 12858289 58478 0 X 0 1 X 0 0 X 19563 19013 35458 81142 43379 198555 9488665 10765079 12122187 12217606 12554312 57147849 9508228 10784092 12157645 12298748 12597691 57346404 0 0 0 57346404 349179 349547 16021 360798 19231 1094776 349179 349547 16021 360798 19231 1094776 109877 164268 112696 119628 91045 597514 9967284 11297907 12286362 12779174 12707967 59038694 0.97130 0.95620 0.01850 0.02580 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2010 AMOUNT: $ 109,877. 2011 AMOUNT: $ 39,391. 2013 AMOUNT: $ 8,011. 2014 AMOUNT: $ 7,172. EQUIPMENT RENTAL - 2011 AMOUNT: $ 100,313. 2012 AMOUNT: $ 89,239. 2013 AMOUNT: $ 65,498. 2014 AMOUNT: $ 47,359. TRANSPORTATION - 2011 AMOUNT: $ 1,779. 2012 AMOUNT: $ 1,577. 2013 AMOUNT: $ 400. 2014 AMOUNT: $ 3,429. EMPLOYEE/GUEST MEALS - 2011 AMOUNT: $ 22,785. 2012 AMOUNT: $ 21,880. 2013 AMOUNT: $ 45,719. 2014 AMOUNT: $ 33,085. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1450000 1450000 10814899 2533189 8281710 2445 2445 1484639 766716 717923 95818 95818 10547896 DENTAL PREMIUMS 38 OVERDRAWN CASH 31539 31577 X 12724064 188681 188681 12535383 0 12535383 12665586 188681 188681 12476905 0 12476905 PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENT FUNDS IN A CUSTODIAL ACCOUNT FOR THE RESIDENTS' USE. PART X, LINE 2: THE HOME IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOME APPLIES THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 4,544. RENTAL EXPENSES 184,137. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 4,544. RENTAL EXPENSES 184,137. MISC 10913 5431 5482 AUCTIONS 25655 25655 19232 36568 5431 31137 19232 19232 11905 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER PRIOR TO FILING THE FORM. THE 990 IS ALSO PRESENTED AT A BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS CONFLICT OF INTEREST POLICY APPLIES TO ANY DIRECTOR, OFFICER, BOARD MEMBER, OR TASK FORCE, SENIOR MANAGEMENT TEAM MEMEBER AND ADMINISTRATOR. THESE INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY DIRECT OR INDIRECT FINANCIAL INTEREST THAT COULD GIVE RISE TO A CONFLICT. THE BOARD OF DIRECTORS REVIEW THE POSSIBLE CONFLICTS AND DETERMINES BY A MAJORITY VOTE WHETHER OR NOT TO ENTER THE TRANSACTION. THE BOARD OF DIRECTORS MAY DECIDE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IF WARRANTED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS AFTER REVIEW OF COMPARABILITY DATA FROM SURVEYS DETERMINING COMPETITIVE WAGES FOR THE INDUSTRY. THIS PROCESS WAS LAST CONDUCTED IN 2014. THE COMPENSATION OF THE OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE CEO AFTER REVIEW OF COMPARABILITY DATA FROM SURVEYS DETERMINING COMPETITIVE WAGES FOR THE INDUSTRY. THIS PROCESS WAS LAST CONDUCTED IN 2014. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE ALL AVAILABLE UPON REQUEST.