2022-11-03T13:04:50-05:00 2021-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-01-01 860335417 TEMPE LIFE CARE VILLAGE INC % SHONA FITZGIBBONS TEMP 4808310880 2645 EAST SOUTHERN AVENUE TEMPE AZ 852827649 SHONA FITZGIBBONS DIRECTOR OF FINANCE 4808310880 2022-04-29 true SHONA FITZGIBBONS 999009999 Brian D Todd P00422601 4178658701 2022-11-15 3 2021 2022-09-23 18:48:47Z FRIENDSHIP VILLAGE OF TEMPE COLE MARVIN 2645 E SOUTHERN AVE TEMPE AZ 852827649 94193190 false X WWW.FRIENDSHIPVILLAGEAZ.COM X 1976 AZ TO BE KNOWN AS THE LEADING RETIREMENT COMMUNITY THAT EMBRACES INDIVIDUALITY WHILE DELIVERING AN INNOVATIVE AND COMPASSIONATE ENVIRONMENT IN WHICH TO LIVE AND WORK. 12 12 752 75 0 0 679460 1149568 47492177 48801749 524740 285898 28268 -1590161 48724645 48647054 0 0 0 0 25082061 25719523 0 0 0 26332717 26642728 51414778 52362251 -2690133 -3715197 175323045 225266079 196490394 247724753 -21167349 -22458674 X FRIENDSHIP VILLAGE TEMPE LIVES OUR LIFE-CARE PROMISE IN A COMMUNITY WHERE RESIDENTS AND STAFF ARE ENGAGED IN ENJOYING LIFE AS ONE. false false 22697189 31675584 THE ORGANIZATION PROVIDES INDEPENDENT LIVING FACILITIES TO RESIDENTS. FRIENDSHIP VILLAGE IS AN ACTIVE SENIOR COMMUNITY. INDEPENDENT LIVING OFFERS RESIDENTS THE OPTION OF A SPACIOUS APARTMENT OR GARDEN HOME. BOTH OPTIONS PROVIDE OPEN FLOOR PLANS AND A WIDE VARIETY OF SERVICES AND AMENITIES. SERVICES OFFERED INCLUDE PAID UTILITIES, HOUSEKEEPING AND LAUNDRY SERVICES, MAINTENANCE, 24-HOUR SECURITY, AND TRANSPORTATION. AMENITIES AVAILABLE INCLUDE: MULTIPLE DINING OPTIONS, SPACIOUS COMMON AREAS, FULLY STAFFED FITNESS CENTER, RECREATION ROOM, ARTS AND CRAFTS, COMPUTER LAB WITH CLASSES, LIBRARY, AND AUDITORIUM. DURING 2021, INDEPENDENT LIVING HAD AN AVERAGE OCCUPANCY RATE OF 90.35%. 15318466 12174190 THE ORGANIZATION PROVIDES SKILLED NURSING CARE TO RESIDENTS. THE FRIENDSHIP VILLAGE TEMPE HEALTH CARE CENTER PROVIDES COMPREHENSIVE SKILLED NURSING CARE. THERE IS A DEEP COMMITMENT TO PROVIDING THE BEST NURSING CARE POSSIBLE, INCLUDING SERVICES THAT RANGE FROM ASSISTANCE WITH DAILY ACTIVITIES TO INTENSIVE REHABILITATION PROGRAMS IN A COMFORTABLE, RELAXED SETTING. FOR THOSE THAT EVER NEED THE SERVICES OF THE HEALTH CARE CENTER, THEY RECEIVE CARE FROM PEOPLE THEY KNOW AND TRUST. IT GOES WITHOUT SAYING THEY'RE TREATED WITH DIGNITY AND RESPECT. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 3165851 4951975 THE ORGANIZATION PROVIDES ON-SITE ASSISTED LIVING TO RESIDENTS. FRIENDSHIP VILLAGE TEMPE OFFERS SECURE, COMFORTABLE ON-SITE ASSISTED LIVING APARTMENTS IN AN ATMOSPHERE THAT PROMOTES INDIVIDUAL WELL-BEING. FRIENDSHIP VILLAGE TEMPE PROVIDES ASSISTANCE WITH DAILY LIVING ACTIVITIES BASED ON EACH RESIDENT'S NEEDS. IF ADDITIONAL SENIOR CARE IS NEEDED, RESIDENTS HAVE ACCESS TO SKILLED NURSING AS PART OF THEIR LIFE CARE PLAN. DURING 2021, THE ASSISTED LIVING SECTION HAD AN AVERAGE RESIDENCY CAPACITY OF 94.83%, CONSISTING OF 24,169 DAYS OF CARE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 41181506 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 76 0 true 752 true false false false false false false false false false false false false X 12 12 false true false false false false false true false false false true true true true true true false true false X SHONA FITZGIBBONS 4808313268 2645 E SOUTHERN AVENUE TEMPE AZ 852827649 MARK YOUNG MARKETING DIRECTOR 40.0 0.0 X 228319 0 3242 KIMBERLIE KNECHT SALES COUNSELOR 40.0 0.0 X 148285 0 0 JADYNE SCHMIDT ADMINISTRATOR 40.0 0.0 X 142290 0 0 MARY ELLEN MAZAR SALES COUNSELOR 40.0 0.0 X 137441 0 0 BRITTANY DUDLEY DIRECTOR OF NURSING 40.0 0.0 X 128971 0 2234 JACKIE RICHARDS SALES COUNSELOR 40.0 0.0 X 125457 0 0 SHONA FITZGIBBONS DIRECTOR OF FINANCE 40.0 0.0 X 99195 0 0 DON CASSANO BOARD PRESIDENT 1.5 0.0 X X 0 0 0 ELLEN CAVANAUGH BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES D BEATON BOARD MEMBER 1.0 0.0 X 0 0 0 MARC PULSIFER BOARD VICE PRESIDENT 1.0 0.0 X X 0 0 0 DR MARIANNE MCCARTHY BOARD MEMBER 1.0 0.0 X 0 0 0 COREY D WOODS BOARD MEMBER 1.0 0.0 X 0 0 0 ROSS RECK BOARD SECRETARY 1.0 0.0 X X 0 0 0 SHIRLEY WELLS BOARD MEMBER 1.0 0.0 X 0 0 0 GARY COOK BOARD TREASURER 1.0 0.0 X X 0 0 0 DARRELL JENSEN BOARD MEMBER 1.0 0.0 X 0 0 0 CATHY CRAWFORD BOARD MEMBER 1.0 0.0 X 0 0 0 TODD PEARSON BOARD MEMBER 1.0 0.0 X 0 0 0 COLE MARVIN EXECUTIVE DIRECTOR 40.0 0.0 X 0 0 0 1009958 0 5476 8 false true false RYAN COMPANIES US INC 3900 E CAMELBACK RD PHOENIX AZ 85018 CONSTRUCTION 15881272 LIFE CARE COMPANIES 400 LOCUST STREET STE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 2660220 MCKESSON PO BOX 630693 CINCINNATI OH 452630693 MEDICAL SUPPLIER 1683308 SYSCO FOOD SERVICES OF ARIZONA 611 S 80TH AVENUE TOLLESON AZ 85353 FOOD SERVICE 1558617 QUALITY REHAB 6477 S SUNCOAST BLVD HOMOSASSA FM 34446 THERAPY SERVICES 1535926 46 217814 931754 1149568 NET PATIENT SERVICE REVENUE 623000 48203564 48203564 OTHER RESIDENT SERVICES 812900 335554 335554 CAFETERIA INCOME 722514 190137 190137 GUEST ACCOMMODATION 721000 3958 3958 OTHER INCOME 623000 68536 68536 48801749 1035012 1035012 0 0 34054 127 34054 127 34181 34181 44797022 44588807 957329 208215 -957329 -749114 -749114 0 0 0 0 0 0 0 0 0 LOSS ON EXTINGUISHMENT OF DEBT 900099 -1624342 -1624342 -1624342 48647054 48801749 -1304263 0 0 0 0 473046 473046 0 19437766 16988321 2449445 176577 133292 43285 4155460 3480801 674659 1476674 1240602 236072 1747754 1747754 0 0 0 0 0 2033694 1919021 114673 799293 799293 7070115 5773932 1296183 0 152254 152254 0 1988923 1827317 161606 232907 160788 72119 0 42898 16185 26713 3939207 3095431 843776 0 6608025 5192589 1415436 395548 395548 MEDICAL SUPPLIES & DRUGS 851196 851196 LICENSES, DUES, SUBSCRIPTIONS 447217 262228 184989 EMPLOYEE EXPENSES 169202 75308 93894 BAD DEBT 164495 164495 52362251 41181506 11180745 0 1069944 5075858 7751291 12078214 0 0 1032741 2316803 0 0 0 0 274702 223528 292792 396059 526870 722737 232803700 107778853 108788099 125024847 55314852 78950210 0 0 0 0 0 0 271754 477823 175323045 225266079 6912986 4334173 0 0 82390956 93655963 103824135 145147603 0 0 0 0 0 0 0 0 3362317 4587014 196490394 247724753 X -21330201 -22598042 162852 139368 -21167349 -22458674 175323045 225266079 X -3715197 2453812 -29940 X false true X true false X 854735 475038 862895 679460 1149568 4021696 42401815 46111089 48435770 47492177 48801749 233242600 0 0 0 43256550 46586127 49298665 48171637 49951317 237264296 371511 371511 114846 114846 486357 486357 236777939 661588 1069193 1730781 0 661588 1069193 1730781 0 0 43918138 46586127 49298665 48171637 51020510 238995077 0.99072 0.99210 0.00724 0.00567 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF LEADING AGE AT BOTH THE NATIONAL AND STATE OF ARIZONA LEVEL. PART OF THE PURPOSE OF THESE ORGANIZATIONS IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTH CARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL. 1787642 1787642 197035763 86805846 110229917 422125 380428 41697 20436778 15715918 4720860 13121392 4876661 8244731 125024847 0 REFUNDS IN PROCESS 1287505 DEPOSITS AND ADVANCE PMTS 3203506 CRAT AND ANNUITY LIABILITIES 96003 4587014 52028255 2453812 -29940 2423872 49604383 -957329 -957329 48647054 53319580 957329 957329 52362251 52362251 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (29,940) ACTUARIAL CHANGE IN SPLIT-INTEREST AGREEMENTS X X X false false false false false false false false false MARK YOUNG MARKETING DIRECTOR 102319 0 126000 0 0 0 0 0 3242 0 231561 0 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY OF TEMPE AZ 860439481 87972MBE1 2019-10-24 37012292 CONSTRUCTION OF 40 NEW IND. LIVING true false false B INDUSTRIAL DEVELOPMENT AUTHORITY OF TEMPE AZ 860439481 87972MBS0 2021-10-01 111951610 CONSTRUCTION OF 64 NEW IND. LIVING true false false A 0 0 37012292 1673563 2477319 30395058 740246 0 0 1726107 0 0 false false false true B 0 0 111951610 4588838 1776226 71120091 1050000 0 0 33416415 0 0 true false false true A false false false false 0 false false false false B false false false false 0 false false false false A false true false false false false 0 false false false 0 false false B false true false false false false 0 false false false 0 false false A true B true FORM 990, PART III, LINE 4B SKILLED NURSING CARE: DURING 2021, THE HEALTH CARE CENTER HAD AN AVERAGE OCCUPANCY RATE OF 69.47%, WITH A TOTAL OF 32,422 PATIENT DAYS, INCLUDING MEDICARE, HMO, PRIVATE PAY, AND PERMANENT AND TEMPORARY ASSIGNMENT OF VILLAGE RESIDENTS. LIKE ASSISTED LIVING, SKILLED NURSING IS AVAILABLE TO RESIDENTS OF FRIENDSHIP VILLAGE, AS WELL AS TO NON-RESIDENTS IF SPACE IS AVAILABLE. IF EVER NEEDED, RESIDENTS ALSO HAVE ACCESS MEMORY CARE AS PART OF THEIR LIFE CARE PLAN. THE MONTESSORI PROGRAM FOR MEMORY CASE IS UNIQUE. THE FOCUS IS ON THE RESIDENT AS AN INDIVIDUAL AND CARE IS TAILORED AROUND THEIR SPECIFIC NEEDS. FORM 990, PART III, LINE 4C ON-SITE ASSISTED LIVING APARTMENTS: AT THE NUNNENKAMP CENTER, RESIDENTS HAVE A CUSTOMIZED TREATMENT PLAN BASED ON INDIVIDUAL NEEDS. THE HIGHLY TRAINED STAFF HAS EARNED A STELLAR REPUTATION FOR THEIR COMMITMENT TO SENIOR CARE AT THE COMMUNITY. A WIDE RANGE OF ON-SITE THERAPY IS AVAILABLE, INCLUDING OCCUPATIONAL, PHYSICAL, AND REHABILITATIVE. DURING 2021, THE NUNNENKAMP CENTER HAD AN AVERAGE OCCUPANCY RATE OF 94.83%, WITH A TOTAL OF 24,169 PATIENT DAYS. FORM 990, PART III, LINE 4D MEMORY CARE ASSISTED LIVING: MEMORY CARE ASSISTED LIVING (ASSISTED LIVING DEMENTIA) IS FOR RESIDENTS WHO REQUIRE THE ATTENTION OF SPECIALLY TRAINED STAFF FOR THE TREATMENT OF DEMENTIA OF COGNITIVE IMPAIRMENT. MEMORY CARE PROGRAMS PROVIDE ASSISTANCE WITH DAILY LIVING, INCLUDING THREE MEALS A DAY. STAFF IS TRAINED TO MEET THE NEEDS OF RESIDENTS IN THE DEMENTIA CARE AREAS. STAFFING IS MORE CONCENTRATED IN THE MEMORY CARE PORTION OF THE HEALTH CARE CENTER THAN IN THE NON-SPECIAL NEEDS AREA. DURING 2021, THE MEMORY CARE PROGRAM HAD AN AVERAGE OCCUPANCY RATE OF 77.76% AND A TOTAL OF 6,812 DAYS OF OCCUPANCY. FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: TEMPE LIFE CARE VILLAGE HAS A MANAGEMENT CONTRACT WITH LIFE CARE SERVICES, LLC (LCS), UNDER WHICH LCS PROVIDES MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE. IN ADDITION, LCS PROVIDES COMPENSATION FOR TEMPE LIFE CARE VILLAGE'S EXECUTIVE DIRECTOR AND ADMINISTRATOR OF RESIDENT SERVICES. TEMPE LIFE CARE VILLAGE ALSO REIMBURSES LCS WITH MONTHLY MANAGEMENT FEES FOR THE COMPENSATION PAID AND OTHER SERVICES PROVIDED. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEE DOCUMENTATION: THERE IS NO FORMAL DOCUMENTATION OF THE COMMITTEE MEETINGS AND ACTIONS. HOWEVER, EACH COMMITTEE REPORTS ITS ACTIVITY FOR THE MONTH AT EACH MONTHLY BOARD OF DIRECTORS GENERAL MEETING. THESE REPORTS ARE DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS GENERAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE 990 IS REVIEWED IN DETAIL BY THE SENIOR MANAGEMENT TEAM OF TEMPE LIFE CARE VILLAGE. AFTER THE INTERNAL REVIEW, A DRAFT COPY OF THE 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FINALLY, A DRAFT COPY OF THE 990 IS E-MAILED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY TO THE BOARD OF DIRECTORS. THE SENIOR MANAGEMENT TEAM REVIEWS THOSE FORMS AND INFORMS THE CHAIRMAN OF THE BOARD OF ANY CONFLICTS OF INTEREST. IF A CONFLICT ARISES, THE AFFECTED BOARD MEMBER IS REQUIRED TO ABSTAIN FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION: THE ORGANIZATION'S MANAGEMENT COMPANY COMPENSATES THE EXECUTIVE DIRECTOR AND ASSOCIATE EXECUTIVE DIRECTOR. REIMBURSEMENT OF THEIR SALARIES AND OTHER COMPENSATION IS COVERED IN THE MANAGEMENT CONTRACT, WHICH THE BOARD APPROVED EFFECTIVE AUGUST 1, 2017 AND ADDED AMENDMENTS ON NOVEMBER 25, 2019. ANY INCREASES ARE APPROVED AS PART OF THE ANNUAL BUDGET PROCESS DESCRIBED BELOW. THE DIRECTOR OF FINANCE COMPENSATION IS DETERMINED BY WAGE AND SALARY SURVEYS USED BY THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT. IT IS APPROVED AS PART OF THE GENERAL BUDGET APPROVAL PROCESS BY THE BOARD FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS. APPROVAL IS RECORDED IN THE BOARD MEETING MINUTES IN NOVEMBER EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS, INCLUDING THE CONFLICT OF INTEREST POLICY, ARE FILED WITH THE ARIZONA CORPORATION COMMISSION. FINANCIAL REPORTS ARE PART OF THE ARIZONA DEPARTMENT OF INSURANCE ANNUAL REPORT AND ALSO REPORTED ON THE NRMSIRS (EMMA). FORM 990, PART VII, SECTION A EXECUTIVE DIRECTOR COMPENSATION: THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED BY A MANAGEMENT COMPANY. SEE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, SECTION B, LINES 15A & 15B FOR ADDITIONAL INFORMATION. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (29,940) ACTUARIAL CHANGE IN SPLIT-INTEREST AGREEMENTS FRIENDSHIP VILLAGE OF TEMPE FOUNDATION 2645 E SOUTHERN AVE TEMPE AZ 85282 860564702 FUNDRAISING AZ 501(C)(3) 12C NA false false false true false false false false false false false false true true false false false false false