2011-11-14T13:21:18-06:00 2011-06-30 MOUNTJOY CHILTON MEDLEY LLP 462 S FOURTH ST 2000 MEIDINGER TOWE LOUISVILLE KY 402023445 990 2010-07-01 205452909 BLUEGRASS OAKWOOD INC BLUE 8592531686 1351 NEWTOWN PIKE LEXINGTON KY 40511 SHANNON P WARE 8592531686 2011-11-10 1 VICTORIA D BUSTER CPA 5027491900 2010 2016-03-07 17:11:31Z SHANNON P WARE 1351 NEWTOWN PIKE LEXINGTON KY 40511 67130618 0 X WWW.BLUEGRASS.ORG X 2007 KY MANAGEMENT OF INTERMEDIATE CARE FACILITY FOR PERSONS WITH MENTAL HEALTH/INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. 25 25 1230 45 0 0 0 0 71495588 67089853 18168 39942 0 823 71513756 67130618 0 0 0 0 53998641 50629605 0 0 0 15021382 13419488 69020023 64049093 2493733 3081525 13915916 17619455 4417615 5039629 9498301 12579826 X TO ASSIST INDIVIDUALS AND FAMILIES IN THE ENHANCEMENT OF THEIR EMOTIONAL, MENTAL AND PHYSICAL WELL-BEING BY PROVIDING MENTAL HEALTH, INTELLECTUAL AND DEVELOPMENTAL DISABILITY AND SUBSTANCE ABUSE SERVICES. WE RECOGNIZE OUR RESPONSIBILITY TO SERVE THOSE WHO HAVE LIMITED OPTIONS FOR MEETING THEIR NEEDS. WE PLAN WITHIN OUR COMMUNITIES, DEVELOP INNOVATIVE PROGRAMS TO RESPOND RAPIDLY TO NEEDS AND, AS APPROPRIATE, HELP INFLUENCE COMMUNITY PRIORITIES TO ENSURE THAT INDIVIDUAL AND COMMUNITY SERVICE GAPS ARE ADDRESSED. 0 0 53752235 67089853 BLUEGRASS OAKWOOD, INC. (OAKWOOD) MANAGES A 400 BED INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH MENTAL HEALTH/INTELLECTUAL AND DEVELOPMENTAL DISABILITIES UNDER CONTRACT WITH THE KENTUCKY CABINET FOR FAMILY AND HEALTH SERVICES AND THE DEPARTMENT FOR BEHAVIORAL HEALTH, DEVELOPMENTAL AND INTELLECTUAL DISABILITIES. THE FACILITY IS OWNED BY THE COMMONWEALTH OF KENTUCKY. SITUATED ON APPROXIMATELY 200 PICTURESQUE ACRES, OAKWOOD OFFERS SEVENTEEN INDIVIDUALIZED HOMES DESIGNED TO MEET THE NEEDS OF INDIVIDUALS WITH MENTAL HEALTH/INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. IT HAS A SMALL GATED COMMUNITY ATMOSPHERE OFFERING A RESTAURANT, COFFEE SHOP, BEAUTY SALON, GYMNASIUM AND INDOOR POOL. OAKWOOD OFFERS SERVICES SUCH AS MEDICAL, NURSING, DENTAL, PSYCHOLOGY, DIETARY, PHYSICAL THERAPY AND RECREATIONAL. CLASSROOMS AND TRAINING CURRICULUMS ARE AVAILABLE TO CREATE OPPORTUNITIES THAT WILL DEVELOP INTERESTS AND BUILD SKILLS THAT LEAD TO EMPLOYMENT AND/OR POST SECONDARY EDUCATION AND PREPARE INDIVIDUALS WITH MENTAL HEALTH/INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TO SUCCESSFULLY TRANSITION INTO THE COMMUNITY AS A PRODUCTIVE CITIZEN.OAKWOOD PROVIDES A LIVING, WORKING, AND TRAINING ENVIRONMENT THAT ENABLES INDIVIDUALS WITH MENTAL HEALTH/INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TO ACHIEVE THEIR DESIRED LIFESTYLE. WHILE PROVIDING A SAFE AND HEALTHY ENVIRONMENT, OAKWOOD CONTINUALLY STRIVES TO ENSURE DIGNITY AND RESPECT FOR THE INDIVIDUAL AND THEIR FAMILY MEMBERS. 53752235 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 86 0 1 1230 1 0 0 0 0 0 0 0 0 0 0 X 25 25 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 KY X SHANNON P WARE 8592531686 1351 NEWTOWN PIKE LEXINGTON KY 40511 SCOTT GOULD 0.80 X X 0 0 0 CAROLYN SIEGEL 0.80 X X 0 0 0 ANTHONY WILHOIT 0.80 X 0 0 0 BILL ALVERSON 0.80 X 0 0 0 BRUCE BROOKS 0.80 X 0 0 0 CONSTANCE MORGAN 0.80 X 0 0 0 DAVID WEBB 0.80 X 0 0 0 JACQUE HUKILL 0.80 X 0 0 0 JAMES G ALEXANDER MD 0.80 X 0 0 0 JAMES PARMAN 0.80 X 0 0 0 JOE ANN DOVE 0.80 X 0 0 0 JOSEPH CONLEY 0.80 X 0 0 0 KAREN WARD 0.80 X 0 0 0 KENNETH WALL 0.80 X 0 0 0 LEE KANATZAR 0.80 X 0 0 0 MARY STITH HAMLIN 0.80 X 0 0 0 PHILIP BERGER 0.80 X 0 0 0 RANDY DINSMORE 0.80 X 0 0 0 ROGER MILLER 0.80 X 0 0 0 ROLLIN TARTER 0.80 X 0 0 0 SAM KAD MD 0.80 X 0 0 0 STEPHEN CRAWFORD 0.80 X 0 0 0 SUNDAY OBI 0.80 X 0 0 0 TINA HIX 0.80 X 0 0 0 TOMMY COTTON 0.80 X 0 0 0 WILLIAM BREWER 0.80 X 0 0 0 TAMBARA A NALLE 40.00 X 0 415124 22089 SHANNON P WARE 40.00 X 0 275198 29254 DAVID PHELPS 37.50 X 152957 0 8662 KEITH SINCLAIR 37.50 X 306495 0 16828 DAVID D LANIER 37.50 X 138380 0 13515 MARK HYATT 37.50 X 288630 0 15398 JOSEPH A TOY 40.00 X 0 134640 0 886462 824962 105746 4 1 1 0 SODEXHO OPERATIONS LLC 4880 PAYSPHERE CIRCLE CHICAGO IL 606730060 FOOD SERVICE 2893931 CROTHALL HEALTHCARE 13025 COLLECTION CTR CHICAGO IL 60696 JANITORIAL 400513 FIRST LAB PO BOX 1450 CORBIN KY 40702 LABORATORY 261189 COLUMBUS MEDICAL SERV PO BOX 827237 PHILADELPHIA PA 19182 PHYSICIANS 219274 KY MEDICAL SERVICES PO BOX 587 LEXINGTON KY 40586 PHYSICIANS 214375 5 STATE CONTRACT REVENUE 623990 65385067 65385067 PATIENT SERVICE REVENU 623990 1704786 1704786 67089853 39942 39942 MISCELLANEOUS 900099 823 823 823 67130618 67089853 0 40765 35515467 31229496 4285971 5599167 4915274 683893 7048993 6297707 751286 2465978 2167120 298858 2400000 2400000 149383 450 148933 11095 11095 1415375 1324367 91008 5108 5108 772525 425758 346767 976779 952366 24413 165125 125824 39301 42838 6924 35914 1025997 1025997 FOOD SUPPLIES 2851047 2850705 342 CLIENT PERSONAL SPENDIN 1704786 1704786 DRUG SUPPLIES 764631 764631 OTHER SUPPLIES 458473 410614 47859 MEDICAL, CLINICAL & DEN 236074 236074 440252 340139 100113 64049093 53752235 10296858 0 1005 1105 7564188 10218069 5809945 5577380 537106 506761 1305000 3672 11140 13915916 17619455 4417615 5039629 4417615 5039629 X 9498301 12579826 9498301 12579826 13915916 17619455 3081525 0 X X 0 1 1 X 1 1 X 42942522 70641486 71423268 71495588 67089853 323592717 42942522 70641486 71423268 71495588 67089853 323592717 0 0 0 323592717 56989 70097 19004 18168 39942 204200 56989 70097 19004 18168 39942 204200 823 823 42999511 70711583 71442272 71513756 67130618 323797740 0.99940 0.99940 0.00060 0.00060 X 0 LONG-TERM CERTIFICATES OF DEPOSIT 1305000 C 1305000 0 1 0 0 0 0 0 0 0 TAMBARA A NALLE 0 154066 0 5392 0 255666 0 20735 0 1354 0 437213 0 0 SHANNON P WARE 0 250016 0 25002 0 180 0 26701 0 2553 0 304452 0 0 DAVID PHELPS 152543 0 0 0 414 0 7627 0 1035 0 161619 0 0 0 KEITH SINCLAIR 305721 0 0 0 774 0 15286 0 1542 0 323323 0 0 0 DAVID D LANIER 137192 0 0 0 1188 0 6860 0 6655 0 151895 0 0 0 MARK HYATT 287856 0 0 0 774 0 14393 0 1005 0 304028 0 0 0 JOSEPH A TOY 0 127621 0 0 0 7019 0 0 0 0 0 134640 0 0 PART I, LINE 4B THE RELATED ORGANIZATION, BLUEGRASS REGIONAL MENTAL HEATLH-MENTAL RETARDATION BOARD, INC., PARTICIPATES IN A NON-QUALIFIED RETIREMENT PLAN FOR KEY EMPLOYEES. THE PLAN INITIATED IN 1995, WHEN KEY EMPLOYEES ARE VESTED AND ELIGIBLE FOR RECEIPT, THEY MUST BE PAID ACCORDING TO THE PLAN DOCUMENT. FOR CURRENT TAX YEAR, TAMBARA A. NALLE AND JOSEPH A. TOY WERE VESTED, ELIGIBLE AND PAID. THE PARTICIPANTS OF THE PLAN DURING THE YEAR WERE: SHANNON P. WARE TAMBARA A. NALLE - RECEIVED A PAYMENT OF $255,666 DURING 2010. DAVID PHELPS JOSEPH A. TOY - RECEIVED A PAYMENT OF $665,399 DURING 2010. SUPPLEMENTAL INFORMATION PART III THE ORGANIZATION HAS ADOPTED THE BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC. EXECUTIVE BENEFIT PLAN (PLAN) UNDER WHICH THE EMPLOYER WILL DETERMINE ELIGIBLE EMPLOYEES TO PARTICIPATE. SUPPLEMENTAL INFORMATION PART III THE RELATED ORGANIZATION, BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC., PAYS THE COMPENSATION TO THE PRESIDENT/CEO AND CFO AND USES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION. COMPENSATION COMMITTEE FORM 990 OF OTHER ORGANIZATIONS WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 2 JOSEPH A. TOY AND SHANNON P. WARE - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE RETURN IS REVIEWED FIRST BY INTERNAL MANAGEMENT. AFTER INTERNAL MANAGEMENT HAS REVIEWED THE RETURN AND ANY CHANGES ARE MADE, A DRAFT IS MADE AVAILABLE FOR REVIEW AND PRESENTATION TO THE ORGANIZATION'S AUDIT/FINANCE COMMITTEE AND CFO. FINALLY, THE AUDIT/FINANCE COMMITTEE AND CFO MEET WITH THE INDEPENDENT TAX PREPARER TO REVIEW FORM 990 AND MAKE ANY FINAL CHANGES PRIOR TO ITS FILING. A DRAFT IS ALSO MADE AVAILABLE FOR THE BOARD OF DIRECTORS TO REVIEW. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER SIGNS THE CONFLICT OF INTEREST STATEMENT ANNUALLY AND HAS A BRIEF OVERVIEW OF THE REQUIREMENT TO DISCLOSE. THE ORGANIZATION DOES NOT PERMIT MEMBERS TO HAVE A CONFLICT OF INTEREST. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST THEY ARE ASKED TO RESIGN FROM THE BOARD. NEW BOARD MEMBERS HAVE AN ORIENTATION WHICH INCLUDES DETAILS OF THE POLICY. KEY EMPLOYEES ARE GIVEN A REVIEW OF THE POLICY ANNUALLY AND NEW KEY EMPLOYEES ARE EDUCATED ON THE POLICY IN A TWO DAY ORIENTATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO IS REVIEWED AT INITIAL APPOINTMENT AND ANNUALLY THEREAFTER. INITIAL SALARIES ARE DETERMINED THROUGH THE USE OF NATIONWIDE SURVEYS WHICH INCLUDE THE STATE OF KENTUCKY AND OTHER NOT FOR PROFITS. THE BOARD OF DIRECTORS IS GIVEN THIS INFORMATION TO REVIEW AND DISCUSS AND THEY DETERMINE THE SALARY OF THE CEO. FOR OTHER OFFICERS OR KEY EMPLOYEES, NATIONAL AND LOCAL SALARY INFORMATION IS REVIEWED BY THE HR DIRECTOR IN DETERMINING SALARIES. IN ADDITION, WHEN BROAD SALARY ADJUSTMENTS ARE DEEMED NECESSARY IN ORDER TO BE IN LINE WITH LOCAL MARKETS, THE INFORMATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS ARE SUBMITTED TO BOTH THE COMMONWEALTH OF KENTUCKY AS REQUIRED BY CONTRACT AND TO THE FEDERAL CLEARINGHOUSE AS REQUIRED. GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE LOCATION. AUDITED FINANCIAL STATEMENTS FORM 990, PAGE 12, PART XI LINE 2C OAKWOOD IS AUDITED AS PART OF THE BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC CONSOLIDATED GROUP. BLUEGRASS OAKWOOD, INC IS INCLUDED IN THE BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS. THE AUDIT/FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. AQUEDUCT PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611233198 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 ASHLAND GROUP HOME INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 300342188 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BIVINS PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 311498544 PROVIDE RESIDENTIAL HOUSING TO MENTALLY ILL INDIVIDUALS KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BLUEGRASS REGIONAL GUARDIANSHIP INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 300283866 GUARDIANSHIP OF INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BLUEGRASS REGIONAL INDUSTRIES INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 262709818 PAYS INDIVIDUALS WITH INTELLECTUAL DISABILITIES WHO WORK IN A SHELTERED WORK KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 610723605 PROVIDES MENTAL HEALTH AND INTELLECTUAL AND DEVELOPMENTAL DISABILITY SERVICE KY 501(C)(3) 9 N/A 0 BLUEGRASS REGIONAL PSYCHIATRIC SERVICES 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611286230 MANAGES AN INPATIENT PSYCHIATRIC HOSPITAL UNDER CONTRACT WITH COMMONWEALTH O KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BLUEGRASS VILLAGE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 421592989 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BRASS RESIDENCE OF SOMERSET INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611315536 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 CASTLEWOOD INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611384219 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 CHRISTIAN CARE CAMPBELLSVILLE HOME II INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 205236196 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 CHRISTIAN CARE CAMPBELLSVILLE HOME INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 205236520 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 DANIELLE COURT INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 300342189 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 DELMONT PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611233196 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 EUREKA SPRINGS PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611233197 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 FRANKLIN PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611233199 PROVIDE RESIDENTIAL HOUSING TO MENTALLY ILL INDIVIDUALS KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 RALL PLACE INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 311498541 PROVIDE RESIDENTIAL HOUSING TO MENTALLY ILL INDIVIDUALS KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 SPINDLETOP INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 300342187 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 VIRGINIA AVENUE APARTMENTS INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 300342190 PROVIDE RESIDENTIAL HOUSING TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES KY 501(C)(3) 9 BLUEGRASS REGIONAL MENTAL HEALTH-MENTAL RETARDATION BOARD INC 0 BLUEGRASS NEW DIRECTIONS INC 1351 NEWTOWN PIKE BUILDING 1 LEXINGTON KY 405111277 611341060 PROVIDE EXECUTIVE MANAGEMENT AND CONSULTING KY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0