NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN ARIZONA SENIOR LIVING COMMUNITY LLC (EIN 86-0906621)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-09
- IRS object ID
- 202302829349300215
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-09T08:18:00-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLENLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860906621 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN ARIZONA SENIOR LIVING COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | LLC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9523618000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 HAZELTINE BLVD 200 | AddressLine1Txt |
| City | CHASKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55318 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS A EGAN | PersonNm |
| Person Title | CO-CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 9523618000 | PhoneNum |
| Signature | 2023-09-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | THOMAS | PersonFirstNm |
| Person Last | EGAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER STEINHOFF | PreparerPersonNm |
| PTIN | P01587351 | PTIN |
| Phone | 6123764500 | PhoneNum |
| Preparation | 2023-09-18 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PEAKS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS A EGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 HAZELTINE BLVD 200 | AddressLine1Txt |
| City | CHASKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55318 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,477,920 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.THEPEAKS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATION WAS FORMED TO DEVELOP AND OPERATE A SENIOR LIVING AND MENTORING FACILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 284 | TotalEmployeeCnt |
| Total Volunteers | 235 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,002,338 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,861,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,316,087 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$3,369 | PYInvestmentIncomeAmt |
| CY Investment Income | -$26,916 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,131 | PYOtherRevenueAmt |
| CY Other Revenue | $50,382 | CYOtherRevenueAmt |
| PY Total Revenue | $14,931,148 | PYTotalRevenueAmt |
| CY Total Revenue | $12,362,553 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,935 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,635 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,316,214 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,949,529 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,673,122 | PYOtherExpensesAmt |
| CY Other Expenses | $6,418,553 | CYOtherExpensesAmt |
| PY Total Expenses | $13,996,271 | PYTotalExpensesAmt |
| CY Total Expenses | $13,370,717 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $934,877 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,008,164 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,182,635 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,129,783 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,744,450 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,699,762 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,561,815 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,569,979 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DEVELOP AND OPERATE A SENIOR LIVING AND MENTORING FACILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,844,377 | ExpenseAmt |
| Grant | $2,635 | GrantAmt |
| Revenue | $12,316,087 | RevenueAmt |
| Desc | THE PEAKS, FLAGSTAFF, ARIZONA, IS UNIQUE IN ITS COMMUNITY INVOLVEMENT IN THAT IT SHARES STRONG TIES WITH THE MUSEUM OF NORTHERN ARIZONA, AND FLAGSTAFF MEDICAL CENTER. THE PEAKS PROVIDES ITS RESIDENTS, AS WELL AS CHILDREN IN THE AREA, WITH FULLY DEVELOPED INTERGENERATIONAL ACTIVITIES BENEFITING OLDER ADULTS AND CHILDREN ALIKE. TWO OF THE PEAKS RESIDENTS ARE DOCENTS OF THE MUSEUM, PROVIDING EDUCATION ON LOCAL HISTORY, AND DISCOVERIES OF THE COLORADO PLATEAU TO AREA SCHOOLS, ASSOCIATIONS, THE PUBLIC AND PEAKS RESIDENTS. THE PEAKS PROVIDES INDEPENDENT, ASSISTED LIVING, PROGRESSIVE MEMORY CARE, REHABILITATION, LONG-TERM CARE, AND SKILLED NURSING, WITH THE OPPORTUNITY FOR RESIDENTS TO "AGE IN PLACE." RESIDENTS ARE ENCOURAGED TO REMAIN IN THEIR APARTMENT HOMES RECEIVING ASSISTANCE WITH ACTIVITIES OF DAILY LIVING THROUGH PERSONALIZED LEVELS OF CARE. THE COMMUNITY WAS DEVELOPED THROUGH A NONPROFIT PARTNERSHIP BETWEEN INTERGENERATIONAL LIVING AND HEALTH CARE, THE MUSEUM OF NORTHERN ARIZONA AND NORTHERN ARIZONA HEALTHCARE. FOR THE FISCAL YEAR ENDED DECEMBER 31, 2022, THE PEAKS PARTICIPATED IN VARIOUS CHARITABLE INITIATIVES SUCH AS THE PROVISION OF DISCOUNTED CARE THROUGH PARTICIPATION IN THE ARIZONA STATE MEDICAID PROGRAM AND INDIAN HEALTH SERVICES. WE AVERAGE 15 MEDICAID PATIENTS IN OUR SKILLED NURSING FACILITY ON A DAILY BASIS. IN OUR LODGE WE AVERAGED 12 RESIDENTS ON A DAILY BASIS DISCOUNTING ELIGIBLE RESIDENT'S CARE BY $307,435 DURING 2022. WE HAVE A PARTNERSHIP WITH THE MUSEUM OF NORTHERN ARIZONA (MNA), WHICH SUPPORTS AN ART COLLECTION WITHIN THE PEAKS AND TWO MUSEUM DOCENT PROGRAMS. WE BELIEVE THIS ART ENRICHES THE LIVES OF OUR RESIDENTS AND THE COMMUNITY AS A WHOLE. THE PEAKS FUNDED: $635 TO AMERICAN CANCER SOCIETY; $1,250 TO AZ HEALTHCARE ASSOCIATION FOR A MEMORIAL; AND $1,600 IN OTHER DONATIONS TO ORGANIZATIONS CONSISTENT WITH OUR PHILOSOPHY OF INTERGENERATIONAL CARE. NAU NURSING STUDENTS IN THE BACCALAUREATE PROGRAMS SERVE A PORTION OF THEIR INTERNSHIP IN THE PEAKS HEALTH & REHABILITATION. FUTURE CERTIFIED NURSING ASSISTANTS FROM COCONINO COMMUNITY COLLEGE SHADOW SNF CNA'S TO FULFIL PROGRAM GRADUATION REQUIREMENTS. | Desc |
| Total Program Service Expenses | $9,844,377 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE GOODMAN GROUP LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9523618000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1107 HAZELTINE BLVD | AddressLine1Txt |
| City | CHASKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55318 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JENNIE A CLARKE | |||||||
| MANAGER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LISA D DAVIDSON | |||||||
| MANAGER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY HARDEN | |||||||
| MANAGER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACOB LANSBURG | |||||||
| MANAGER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS BAVASI | |||||||
| CO-CHIEF EXECUTIVE OFFICER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| THOMAS A EGAN | |||||||
| CO-CHIEF EXECUTIVE OFFICER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MICHELE ORTIZ | |||||||
| EXECUTIVE DIRECTOR | 40.00 | $157,781 | $0 | $39,445 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $157,781 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $39,445 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE GOODMAN GROUP LLC | |||||
| 1107 HAZELTINE BLVD 200 | CHASKA | MN | 55318 | MANAGEMENT AND ACCOUNTING SERVICES, INFO | $862,898 |
| RELIANT REHABILITATION HOLDINGS INC | |||||
| 5800 GRANITE PARKWAY SUITE 1000 | PLANO | TX | 75024 | THERAPY | $307,652 |
| SYNERTX | |||||
| 7540 NORTH 19TH AVE SUITE 200 | PHOENIX | AZ | 85021 | THERAPY | $285,346 |
| PHARMERICA CORPORATION OF AMERICA | |||||
| 805 N WHITTINGTON PKWY | LOUISVILLE | KY | 40222 | PHARMACY | $235,510 |
| GO RN LLC | |||||
| 313 NORTH BIRCH SUITE 102 | SANTA ANA | CA | 92701 | CONTRACTED NURSING | $115,467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $23,000 | AllOtherContributionsAmt |
| Total Contributions | $23,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT SERVICES | 623990 | $9,438,343 | $9,438,343 |
| ANCILLARY SERVICES | 623990 | $2,877,744 | $2,877,744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,316,087 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,409 | TotalRevenueColumnAmt |
| Exclusion | $7,409 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $81,042 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $115,367 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$34,325 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$34,325 | TotalRevenueColumnAmt |
| Exclusion | -$34,325 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $50,382 | TotalRevenueColumnAmt |
| Exclusion | $50,382 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $50,382 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,362,553 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,316,087 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $23,466 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,635 | TotalAmt |
| Program Services | $2,635 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,906,425 | TotalAmt |
| Program Services | $5,117,928 | ProgramServicesAmt |
| Management And General | $788,497 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,186 | TotalAmt |
| Program Services | $48,685 | ProgramServicesAmt |
| Management And General | $7,501 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,396 | TotalAmt |
| Program Services | $486,451 | ProgramServicesAmt |
| Management And General | $74,945 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,522 | TotalAmt |
| Program Services | $368,716 | ProgramServicesAmt |
| Management And General | $56,806 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,657 | TotalAmt |
| Management And General | $673,657 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,248 | TotalAmt |
| Management And General | $27,248 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,966 | TotalAmt |
| Management And General | $209,966 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,712 | TotalAmt |
| Program Services | $859,589 | ProgramServicesAmt |
| Management And General | $292,123 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,013 | TotalAmt |
| Management And General | $158,013 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,749 | TotalAmt |
| Management And General | $111,749 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,761 | TotalAmt |
| Management And General | $150,761 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,205 | TotalAmt |
| Program Services | $320,205 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,565 | TotalAmt |
| Program Services | $40,869 | ProgramServicesAmt |
| Management And General | $71,696 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,117 | TotalAmt |
| Program Services | $444,319 | ProgramServicesAmt |
| Management And General | $186,798 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,422 | TotalAmt |
| Program Services | $667,400 | ProgramServicesAmt |
| Management And General | $289,022 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,772 | TotalAmt |
| Program Services | $291,525 | ProgramServicesAmt |
| Management And General | $126,247 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY FOOD | $572,224 | $572,224 | $0 |
| SUPPLIES | $390,736 | $301,156 | $89,580 |
| OTHER EXPENSES | $268,704 | $123,687 | $145,017 |
| DRUGS | $198,988 | $198,988 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,714 | TotalAmt |
| Management And General | $66,714 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,370,717 | TotalAmt |
| Program Services | $9,844,377 | ProgramServicesAmt |
| Management And General | $3,526,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,653,561 | BOYAmt |
| EOY | $886,447 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,410,743 | BOYAmt |
| EOY | $1,430,292 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $735,143 | BOYAmt |
| EOY | $1,076,984 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,025 | BOYAmt |
| EOY | $60,388 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,729 | BOYAmt |
| EOY | $210,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,000,484 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,904,053 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,786,968 | BOYAmt |
| EOY | $14,096,431 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,466 | BOYAmt |
| EOY | $1,368,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,182,635 | BOYAmt |
| EOY | $19,129,783 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,075 | BOYAmt |
| EOY | $905,715 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $830,315 | BOYAmt |
| EOY | $246,837 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,073 | BOYAmt |
| EOY | $12,474 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,062,987 | BOYAmt |
| EOY | $22,534,736 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,744,450 | BOYAmt |
| EOY | $23,699,762 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,561,815 | BOYAmt |
| EOY | -$4,569,979 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,561,815 | BOYAmt |
| EOY | -$4,569,979 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,182,635 | BOYAmt |
| EOY | $19,129,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,008,164 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,083,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,002,338 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,000 | CurrentTaxYearAmt |
| Total | $5,134,512 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,175,391 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,098,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,179,954 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,861,048 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,316,087 | CurrentTaxYearAmt |
| Total | $66,630,948 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,175,741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,123,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,263,778 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,863,386 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,339,087 | CurrentTaxYearAmt |
| Total | $71,765,460 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $71,765,460 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,470 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,676 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,409 | CurrentTaxYearAmt |
| Total | $26,463 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,470 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,676 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,409 | CurrentTaxYearAmt |
| Total | $26,463 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $101,345 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71,131 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,382 | CurrentTaxYearAmt |
| Total | $222,858 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,180,211 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,127,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,375,481 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,935,067 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,396,878 | CurrentTaxYearAmt |
| Total | $72,014,781 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99650 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99740 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 101,345. 2021 AMOUNT: $ 71,131. 2022 AMOUNT: $ 50,382. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $660,000 | OtherCostOrOtherBasisAmt |
| Book Value | $660,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,773,616 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,095,561 | DepreciationAmt |
| Book Value | $11,678,055 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,788,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,361,567 | DepreciationAmt |
| Book Value | $1,427,070 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,778,231 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,446,925 | DepreciationAmt |
| Book Value | $331,306 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,096,431 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| REPLACEMENT RESERVE ACCOUNT | $470,478 |
| TENANT/PATIENT FUNDS HELD IN TRUST | $12,574 |
| RESIDUAL RECEIPTS RESERVE | $796,793 |
| TAX AND INSURANCE ESCROW | $89,061 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,368,906 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,394,243 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,635 | OtherRevenueAmt |
| Revenue Not Reported | -$2,635 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,396,878 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$34,325 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$34,325 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,362,553 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,402,407 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $34,325 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $34,325 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,368,082 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,635 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,635 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,370,717 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENT FUND TOTALING $12,474 |
| PART X, LINE 2: | THE PROJECT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE PROJECT FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE PROJECT FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEAR SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHARITABLE EXPENSE -2,635. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF PROPERTY -34,325. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF PROPERTY 34,325. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CHARITABLE EXPENSE 2,635. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELE ORTIZ | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $140,281 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $17,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $39,445 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $197,226 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE GOODMAN GROUP, LLC, MANAGES THE PROJECT'S FACILITIES. MANAGEMENT FEES ARE INCURRED PURSUANT TO A MANAGEMENT AGREEMENT BASED ON 5.5% OF GROSS RECEIPTS, AS APPROVED BY HUD. THE PROJECT PAYS THE GOODMAN GROUP, LLC AN ACCOUNTING SERVICES FEE. THE ACCOUNTING FEE IS BASED UPON AN ALLOCATION OF THE COSTS OF ACCOUNTANTS, BOOKKEEPERS, PAYROLL TAXES, INSURANCE, THE COST OF DATA PROCESSING, AND OTHER ALLOCABLE COSTS. THE FEE IS CHARGED TO ALL PROJECTS MANAGED BY THE GOODMAN GROUP, LLC ON A PRO RATA ALLOCATION BASED ON NET REVENUES EARNED. THE PROJECT PAYS THE GOODMAN GROUP, LLC AN IT FEE. THE IT FEE IS BASED UPON AN ALLOCATION OF THE COSTS OF INFORMATION TECHNOLOGY AND RELATED SERVICES. THE FEE IS CHARGED TO ALL PROJECTS MANAGED BY THE GOODMAN GROUP, LLC ON A PRO RATA ALLOCATION BASED ON COMPUTER UNITS. THE GOODMAN GROUP, LLC ALSO PROVIDES LEGAL SERVICES, WHICH ARE CHARGED TO THE PROJECT ON A PER HOUR BASIS BASED ON ACTUAL COSTS INCURRED. |
| FORM 990, PART VI, SECTION A, LINE 8B | NO INDIVIDUAL COMMITTEE CREATED BY THE BOARD HAS THE BROAD AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE CONTROLLER AND CPAS OF THE MANAGEMENT COMPANY. THE FORM 990 IS GIVEN TO EACH BOARD MEMBER IN ADVANCE OF A SCHEDULED MEETING OF THE BOARD FOR THEIR REVIEW. THERE IS DISCUSSION OF THE FORM 990 AT THE BOARD MEETING WITH THE PREPARERS AND THE MANAGEMENT COMPANY'S REPRESENTATIVE PRIOR TO BOARD APPROVAL OF THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS, COMMITTEE MEMBERS AND KEY EMPLOYEES OF THE NORTHERN ARIZONA SENIOR LIVING COMMUNITY OWE SUCH ENTITIES A DUTY OF GOOD FAITH LOYALTY. THUS, PERSONS HOLDING SUCH POSITIONS MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF ANY OF THE NORTHERN ARIZONA SENIOR LIVING COMMUNITY. CONSEQUENTLY, RESPONSIBLE PERSONS ARE REQUIRED TO DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AND FULLY TO THE CHAIR OF THE BOARD AND THE CO-CHIEF EXECUTIVE OFFICERS OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY, WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE BOARD. IF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE PERSON WITH SUCH CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE AFFAIRS OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY IN CONNECTION WITH THE SPECIFIC CONTRACT, TRANSACTION OR RELATIONSHIP THAT FORMS THE BASIS OF SUCH CONFLICT OF INTEREST, EXCEPT AS EXPRESSLY PERMITTED UNDER THIS POLICY. EACH POTENTIAL CONFLICT OF INTEREST MUST BE PRESENTED TO THE BOARD (OR A COMMITTEE DESIGNATED BY THE BOARD) FOR AUTHORIZATION, APPROVAL OR RATIFICATION. THE BOARD SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO NORTHERN ARIZONA SENIOR LIVING COMMUNITY. THE DECISION OF THE BOARD ON THESE MATTERS WILL REST IN THEIR SOLE DISCRETION, AND THEIR CONCERN MUST BE THE WELFARE OF NORTHERN ARIZONA SENIOR LIVING COMMUNITY AND THE ADVANCEMENT OF ITS PURPOSE. THE DISCLOSING PERSON SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST AND SHALL INCLUDE ANY KNOWN, RELEVANT AND MATERIAL FACTS ABOUT THE CONTRACT OR TRANSACTION, INCLUDING ALL AREAS THAT MIGHT REASONABLY BE CONSTRUED TO BE ADVERSE TO NORTHERN ARIZONA SENIOR LIVING COMMUNITY'S INTERESTS OR TO BE BENEFICIAL TO THE DISCLOSING PERSON. THE PERSON WITH THE POTENTIAL CONFLICT OF INTEREST SHALL BE EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION, EXCEPT AS EXPRESSLY REQUESTED BY THE BOARD (OR OTHER DESIGNATED COMMITTEE) AND SUCH PERSON SHALL NOT BE COUNTED IN DETERMINING ANY NECESSARY QUORUM OR APPROVAL FOR ACTION TO BE TAKEN. AFTER DISCLOSURE, TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE PERMITTED TO BE UNDERTAKEN IF A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS, IF APPLICABLE OR THE BOARD HAS DETERMINED THAT THE TERMS OF THE TRANSACTION ARE FAIR AND REASONABLE; AND THE BOARD HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION REVIEWS AND APPROVES COMPENSATION LEVELS ANNUALLY DURING BUDGET REVIEW, INCLUDING PAY LEVELS FOR KEY EMPLOYEES. TO FACILITATE THIS REVIEW, THE ORGANIZATION UTILIZES AN INDEPENDENT MANAGEMENT COMPANY TO RESEARCH AND RECOMMEND PAY LEVELS. THE MANAGEMENT COMPANY HAS OVER 50 YEARS OF EXPERIENCE IN THE SENIOR HOUSING AND PROPERTY MANAGEMENT INDUSTRY WITH NUMEROUS RESOURCES TO INDEX. KEY EMPLOYEES WOULD INCLUDE EXECUTIVE DIRECTORS AND LEADERSHIP AT THE WHOLLY OWNED ENTITIES OF THE ORGANIZATION, AS WELL AS, RECOMMENDATIONS OF PAY LEVELS FOR MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. |
| 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 WRITTEN REQUEST. |
| FORM 990, PART XII, LINE 2C | THE FINANCIAL STATEMENTS ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE STATEMENTS ARE REVIEWED AND APPROVED BY THE BOARD BEFORE BEING ISSUED. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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