2012-11-14T14:12:44-06:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2011-07-01 731571795 MONTEREAU INC MONT 9184915200 6800 S GRANITE AVENUE TULSA OK 74136 DAVID W SCRUGGS 9184915200 2012-11-13 1 JEFF PARKER P00970069 3149254300 2011 2016-02-24 21:20:13Z DAVID W SCRUGGS 6800 S GRANITE AVE TULSA OK 74136 114472714 0 X WWW.MONTEREAU.NET X 1999 OK MONTEREAU, INC., OWNS AND OPERATES A CONTINUING CARE RETIREMENT COMMUNITY IN TULSA, OK. MONTEREAU SUPPORTS, HONORS AND UPLIFTS THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM BY PROVIDING RESIDENTIAL INDEPENDENT LIVING ACCOMMODATIONS AND SUPPORTIVE SERVICES TO INDIVIDUALS AGE 55 AND OVER, AS WELL AS ASSISTED LIVING, MEMORY SUPPORT (ALZHEIMER'S CARE) AND SKILLED NURSING SERVICES TO ITS RESIDENTS. 10 10 404 40 0 0 228714 194040 18134422 21581858 1912678 -691930 263497 319100 20539311 21403068 49200 52525 0 0 9072472 10763973 0 0 0 12296898 19060353 21418570 29876851 -879259 -8473783 200471837 186935182 210926168 205815026 -10454331 -18879844 X MONTEREAU SUPPORTS, HONORS AND UPLIFTS THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM BY PROVIDING RESIDENTIAL INDEPENDENT LIVING ACCOMMODATIONS AND SUPPORTIVE SERVICES TO INDIVIDUALS AGE 55 AND OVER AS WELL AS ASSISTED LIVING, MEMORY SUPPORT (ALZHEIMER'S CARE) AND SKILLED NURSING SERVICES TO ITS RESIDENTS. 0 0 26857759 21581858 RESIDENTIAL INDEPENDENT LIVING FOR OLDER ADULTS - MONTEREAU PROVIDES RESIDENTIAL INDEPENDENT LIVING ACCOMODATIONS AND SUPPORTIVE SERVICES TO INVIDIDUALS AGE 55 AND OVER, THOUGH THE AVERAGE AGE OF NEW RESIDENTS IS 81. THE AVERAGE AGE OF ALL RESIDENTS IS 84. A TYPICAL RESIDENT ENTERING INDEPENDENT LIVING WILL RESIDE AT MONTEREAU FOR APPROXIMATELY 10 YEARS. RESIDENTS PAY AN ENTRANCE FEE UPON MOVING IN AND A MONTHLY SERVICE FEE WHILE THEY RESIDE AT MONTEREAU. ONCE MONTEREAU ACCEPTS A RESIDENT IN INDEPENDENT LIVING UNDER A CONTINUING CARE RESIDENCY AGREEMENT, MONTEREAU IS CONTRACTUALLY OBLIGATED TO PROVIDE INDEPENDENT LIVING AND HEALTH CARE SERVICES (GENERALLY EXCLUDING PRIMARY CARE, HOSPITAL CARE, PHARMACEUTICALS AND CERTAIN OTHER SUPPLIES) FOR THE REST OF THE RESIDENT'S LIFE REGARDLESS OF THE RESIDENT'S ABILITY TO PAY. MONTEREAU PROVIDE A FULL RANGE OF DINING OPTIONS, SOCIAL SERVICES, ENTERTAINMENT, CULTURAL DEVELOPMENT, SPIRITUAL LIFE, PHYSICAL FITNESS OPTIONS, TRANSPORTATION AND SIMILAR SERVICES TO ITS RESIDENTS, GENERALLY WITHOUT ANY ADDITIONAL FEES. MONTEREAU HAS 326 INDEPENDENT LIVING RESIDENCES AND CURRENTLY SERVES APPROXIMATELY 338 INDIVIDUALS IN INDEPENDENT LIVING.ASSISTED LIVING - MONTEREAU PROVIDES ASSISTED LIVING ACCOMODATIONS AND SUPPORTIVE SERVICES TO INDIVIDUALS THAT ENTER THE COMMUNITY THROUGH INDEPENDENT LIVING, AS WELL AS TO INVIDIDUALS THAT ARE ADMITTED DIRECTLY TO ASSISTED LIVING. THE ASSISTED LIVING FACILITIES INCLUDE A DINING AREA, PRIVATE DINING OPPORTUNITIES, A SERVERY, LIVING AREAS AND A COMMUNITY ROOM USED FOR ACTIVITIES. RESIDENTS IN ASSISTED LIVING ARE NOT CAPABLE OF LIVING ON THEIR OWN, AND THEY RECEIVE 24-HOUR LICENSED NURSING CARE, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, IN ADDITION TO DINING OPTIONS, SOCIAL SERVICES, ENTERTAINMENT, CULTURAL DEVELOPMENT, SPIRITUAL LIFE, PHYSICAL FITNESS OPTIONS, TRANSPORTION AND OTHER SERVICES SIMILAR TO RESIDENTS IN INDEPENDENT LIVING. THE GOAL OF MONTEREAU'S ASSISTED LIVING PROGRAM IS TO ENABLE OLDER ADULTS TO MAINTAIN THEIR MAXIMUM POSSIBLE INDEPENDENCE GIVEN THE LIMITATIONS BROUGHT BY AGING AND ILLNESS. MONTEREAU HAS 44 ASSISTED LIVING UNITS THAT GENERALLY ARE APPROXIMATELY 100% OCCUPIED.MEMORY SUPPORT - MONTEREAU PROVIDES ACCOMODATIONS AND SUPPORTIVE SERVICES TO INDIVIDUALS THAT SUFFER FROM ALZHEIMER'S DISEASE AND SIMILAR COGNITIVE IMPAIRMENTS AND ENTER THE COMMUNITY THROUGH INDEPENDENT LIVING, AS WELL AS TO INDIVIDUALS THAT ARE ADMITTED DIRECTLY TO MEMORY SUPPORT. THE MEMORY SUPPORT FACILITIES INCLUDE A DINING AREA AND COMMUNITY ROOM, A SERVERY AND LIVING AREAS. RESIDENTS IN MEMORY SUPPORT ARE NOT CAPABLE OF LIVING ON THEIR OWN DUE TO COGNITIVE IMPAIRMENTS THAT MAY EXIST ALONGSIDE A NEED FOR ASSISTANCE. RESIDENTS RECEIVE 24-HOUR LICENSED NURSING CARE, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING AND PROGRAMS SPECIFIC TO THEIR COGNITIVE IMPAIRMENT, AS WELL AS DINING OPTIONS, SOCIAL SERVICES, ENTERTAINMENT, ACTIVITIES, SPIRITUAL LIFE AND OTHER SERVICES SIMILAR TO RESIDENTS IN INDEPENDENT LIVING WITH ALLOWANCES FOR THEIR COGNITIVE AND PHYSICAL HEALTH. THE GOAL OF MONTEREAU'S MEMORY SUPPORT PROGRAM IS TO ENABLE OLDER ADULTS TO MAINTAIN THEIR MAXIMUM POSSIBLE INDEPENDENCE GIVEN THE LIMITATIONS BROUGHT BY THEIR COGNITIVE IMPAIRMENT, AGING AND ILLNESS. MONTEREAU HAS 27 ASSISTED LIVING UNITS THAT GENERALLY ARE APPROXIMATELY 100% OCCUPIED.SKILLED NURSING - MONTEREAU PROVIDES ACCOMODATIONS, NURSING CARE AND SUPPORTIVE SERVICES TO INDIVIDUALS THAT REQUIRE 24-HOUR NURSING CARE AND ENTER THE COMMUNITY THROUGH INDEPENDENT LIVING, AS WELL AS TO INVIDIDUALS THAT ARE ADMITTED DIRECTLY TO SKILLED NURSING. MONTEREAU SKILLED NURSING STAFFING IS HIGH IN COMPARISON TO SIMILAR FACILITIES ON A PER RESIDENT DAY BASIS, AND THE SKILLED NURSING UNIT IS AMONG A SELECT NUMBER OF SIMILAR FACILITIES THAT HAS EXPERIENCED TWO CONSECUTIVE YEARS OF DEFICIENCY FREE SURVEYS. THE SKILLED NURING FACILITIES INCLUDE DINING AREAS, COMMUNITY ROOMS, A SERVERY AND LIVING AREAS. RESIDENTS ARE PROVIDED WITH 24-HOUR LICENSED NURSING, DINING OPTIONS, SOCIAL SERVICES, ENTERTAINMENT, ACTIVITIES, SPIRITUAL LIFE AND OTHER SERVICES SIMILAR TO RESIDENTS IN INDEPENDENT LIVING WITH ALLOWANCES FOR THEIR COGNITIVE AND PHYSICAL HEALTH. THE GOAL OF MONTEREAU'S SKILLED NURSING PROGRAM IS TO ENABLE OLDER ADULTS TO MAINTAIN THEIR MAXIMUM POSSIBLE INDEPENDENCE GIVEN THE LIMITATIONS BROUGHT BY THEIR COGNITIVE IMPAIRMENT, AGING AND ILLNESS. MONTEREAU HAS 70 SKILLED NURSING BEDS THAT GENERALLY ARE APPROXIMATELY 95% OCCUPIED.YOU'RE FIRST - MONTEREAU PROVIDES COMPANION CARE FOR RESIDENTS IN INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING FOR AN ADDITIONAL FEE. THE PURPOSE OF THIS PROGRAM IS TO PROVIDE SOCIALIZATION AND MAXIMIZE INDEPENDENCE FOR INDIVIDUALS AS THEY BECOME ISOLATED OR UNABLE TO ACCOMPLISH CERTAIN DOMESTIC TASKS SUCH AS HOUSEKEEPING AND PET CARE DUE TO INFIRMITY. 26857759 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 52 0 1 404 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 0 X DAVID W SCRUGGS 9184915269 6800 S GRANITE AVENUE TULSA OK 74136 JOHN KELLY C WARREN 0.60 X X 0 0 0 THOMAS E COOPER 0.60 X X 0 0 0 JAKE HENRY JR 0.20 X 0 0 0 BILL MAJOR 0.20 X 0 0 0 DR WILLIAM C MASON 0.20 X 0 0 0 BEVERLY FARRELL 0.20 X 0 0 0 RICHARD REINKING MD 0.30 X 0 0 0 JACK E SHORT 0.30 X 0 0 0 CHRISTOPHER B TETER MD 0.20 X 0 0 0 MARK FRIED 0.20 X 0 0 0 JESSICA BOLEN 40.00 X X 78454 0 78454 DAVID MURLETTE 40.00 X 283594 0 283594 DAVID SCRUGGS 40.00 X 202558 0 202558 FLOYD AUTIN 40.00 X 130683 0 130683 LARRY LEBOLD 40.00 X 128619 0 128619 823908 0 823908 4 0 1 0 FLINTCO INC 1624 W 21ST ST TULSA OK 74107 PHASE 2 GENERAL CONTRACTOR 15163830 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 OCCUPATIONAL, PHYSICAL AND SPEECH THERAP 615798 JONES LANG LASALLE AMERICAS INC 33832 TREASURY CENTER CHICAGO IL 60694 PHASE 2 OWNER'S REPRESENTATIVE 314800 METRO LANDSCAPE SERVICES PO BOX 1617 BROKEN ARROW OK 74013 LANDSCAPING SERVICES 294254 INTERIOR DESIGN ASSOCIATES 618 CHURCH STREET SUITE 400 NASHVILLE TN 37219 PHASE 2 INTERIOR DESIGN 288452 8 194040 194040 RESIDENT FEES 623000 16145333 16145333 ENTRANCE FEES 623000 3097594 3097594 MEDICARE REVENUE 623000 2338931 2338931 21581858 1157187 1157187 91220529 93069646 -1849117 -1849117 -1849117 MEAL REVENUE 623000 207725 207725 MISC INCOME 623000 102067 102067 BEAUTY AND BARBER 623000 9308 9308 319100 21403068 21581858 0 -372830 52525 52525 522265 522265 8227998 7520636 707362 1387895 1192862 195033 625815 537873 87942 164917 164917 49533 49533 44424 44424 202425 114672 87753 495502 52383 443119 1049106 605776 443330 150178 150178 1345279 1341127 4152 33700 11873 21827 28447 17349 11098 6108193 6089340 18853 5745989 5728254 17735 282943 282070 873 ANCILLARY EXPENSE 1354423 1354423 FOOD EXPENSE 1035199 1035199 REPAIRS & MAINT 695275 673348 21927 STATE BED TAX, SALES TA 272654 248049 24605 2166 2166 29876851 26857759 3019092 0 16591639 14392496 45207717 22047847 1268314 1784968 34468 30958 456108 405697 167864817 24455534 130946450 143409283 5967141 4863933 200471837 186935182 10811798 2979369 71074602 86205130 125615403 115341398 3424365 1289129 210926168 205815026 X -10950545 -19462885 496214 583041 -10454331 -18879844 200471837 186935182 X -8473783 48270 X X 0 1 1 X 0 X 32569 778580 221786 226622 194040 1453597 16926039 17479042 18380644 18134422 21581858 92502005 16958608 18257622 18602430 18361044 21775898 93955602 0 0 0 93955602 508031 280022 249340 1912678 -691930 2258141 508031 280022 249340 1912678 -691930 2258141 408517 315425 263497 319100 1306539 17466639 18946161 19167195 20537219 21403068 97520282 0.96340 0.95360 0.02320 0.03560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1209177 1209177 143689604 17989573 125700031 13058941 6465961 6592980 9907095 9907095 143409283 DEPOSITS ON UNOCCUPIED UNITS 1297129 REFUNDS PAYABLE -8000 1289129 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. THE TAX RETURNS FOR THE YEARS 2007 THROUGH 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. 1 ALZHEIMER'S ASSOCIATION 6465 S YALE TULSA OK 74136 731183372 501(C)(3) 5000 ALZHEIMER'S RESEARCH THE CHILDREN'S HOSPITAL AT SAINT FRANCIS 6161 S YALE TULSA OK 74136 202843418 501(C)(3) 6000 OPERATIONS OF NONPROFIT CHILDREN'S HOPSITAL IN TULSA, OK TULSA COMMUNITY FOUNDATION 7030 S YALE AVENUE SUITE 600 TULSA OK 74136 731554474 501(C)(3) 15000 ACROSS THE GENERATION - WHAT WE OWE EACH OTHER SUMMIT LIFE SENIOR SERVICES 5950 E 31ST STREET TULSA OK 741355106 731043783 501(C)(3) 16800 PROVIDES A WIDE VARIETY OF HOUSING AND OTHER SERVICES TO OLDER ADULTS; PRIMARILY TO THOSE WITH LIMITED OPTIONS 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MONTEREAU MAKES CHARITABLE CONTRIBUTIONS TO LOCAL CHARITIES THAT ROUTINELY PUBLISH FINANCIAL AND OPERATING INFORMATION. X X X X X 0 0 0 0 0 0 0 0 0 DAVID MURLETTE 230382 0 47570 0 5642 0 24164 0 10398 0 318156 0 0 0 DAVID SCRUGGS 195108 0 1470 0 5980 0 26364 0 4372 0 233294 0 0 0 TULSA COUNTY INDUSTRIAL AUTHORITY 521526494 000899530 2010-03-25 113533001 EXPANSION AND IMPROVEMENTS TO EXISTING COMMUNITY 0 0 0 120206417 15273531 1432057 63314440 38365107 1821282 2012 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 X LINE 3 REFINANCE APPLICATION: THE ISSUANCE OF THE 2010 SERIES BONDS WAS TO REFUND THE AUTHORITY'S VARIABLE RATE DEMAND FIRST MORTGAGE REVENUE BONDS, SERIES 2002A LINE 3 - $120,206,417 LISTED AS COMPARED TO THE $113,533,001 AS REPORTED ON FORM 8038 - RECONCILIATION - $3,507,000 INTITIAL ENTRANCE FEES ON GARDEN HOMES AND $3,166,416 OTHER FUNDS OF THE CORPORATION WHICH TOTAL $6,673,416 ADDITIONAL PROCEEDS ON BONDS. FORM 990, PART VI, SECTION A, LINE 6 THREE BOARD MEMBERS ARE MEMBERS OF THE CORPORATION AND RESPONSIBLE FOR ELECTING BOARD MEMBERS AND MEMBERS OF THE CORPORATION. THERE ARE NO STOCKHOLDERS. FORM 990, PART VI, SECTION A, LINE 7A THREE BOARD MEMBERS ARE MEMBERS OF THE CORPORATION AND RESPONSIBLE FOR ELECTING BOARD MEMBERS AND MEMBERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE DECISIONS OF THE EXECUTIVE AND AUDIT COMMITTEE ARE REPORTED REGULARLY TO THE FULL BOARD OF DIRECTORS AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE ALSO SERVES AS THE AUDIT COMMITTEE. MEMBERS MUST APPROVE CERTAIN LARGE DISPOSITIONS OF ASSETS AND CHANGES IN CORPORATE STATUS. FORM 990, PART VI, SECTION B, LINE 11 THE CEO, CFO, ACCOUNTING DIRECTOR AND EACH BOARD MEMBER WERE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW, COMMENT AND CORRECTION PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND MANAGEMENT RELY ON SELF-REPORTING OF CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS REVIEWED, DISCUSSED AND SIGNED BY EACH BOARD MEMBER AT LEAST ANNUALLY AT A MEETING OF THE BOARD AND AT A MEETING OF SENIOR MANAGEMENT, WHICH INCLUDES THE CEO, CFO, DIRECTOR OF HR AND HEALTH CENTERS ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE HAS BEEN EMPOWERED BY THE BOARD OF DIRECTORS TO REVIEW THE CEO'S PERFORMANCE, ESTABLISH THE CEO'S COMPENSATION AND COMPENSATION GUIDELINES FOR OTHER KEY EXECUTIVES. IN FY 2010 A COMPENSATION CONSULTANT WAS RETAINED TO ASSIST THE EXECUTIVE COMMITTEE IN SETTING COMPENSATION FOR THE FOUR HIGHEST COMPENSATED EMPLOYEES. ON AN ONGOING BASIS, THE EXECUTIVE COMMITTEE MONITORS TRENDS IN EXECUTIVE COMPENSATION FOR SIMILAR POSITIONS PRIOR TO APPROVING COMPENSATION ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES COPIES OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN VALUE OF SWAP AGREEMENT 132,961. NET UNREALIZED LOSSES ON INVESTMENTS -84,691. TOTAL TO FORM 990, PART XI, LINE 5: 48,270. AUDIT COMMITTEE / FINANCIAL STATEMENT OVERSIGHT FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MONTEREAU RESTAURANT SERVICES LLC 6800 S GRANITE STREET TULSA OK 74136 161673293 PURCHASE OF ALCOHOLIC BEVERAGES OK 0 0 MONTEREAU INC