2019-09-11T11:39:25-05:00 2018-12-31 411690382 Malloy Montague Karnowski Radosevich 5353 Wayzata Blvd Ste 410 Minneapolis MN 55416 990 2018-01-01 860906621 Northern Arizona Senior Living Community LLC NORT 9523618000 1107 Hazeltine Blvd No 200 Chaska MN 55318 Randall Benson Co-Chief Executive Officer 9523618000 2019-09-06 1 Thomas A Karnowski P00148364 9525450424 168.61.156.211 2019-09-06 11:49:35 CD P 02A6A7B5084440435AD88DC505C1209F08BEFB35 7AAFBC6DA65B110676C325BD62FB1B0AFE8D7FCB 2018 2019-02-21 02:37:17Z The Peaks Thomas A Egan 1107 Hazeltine Blvd No 200 Chaska MN 55318 14180211 0 X www.thepeaks.org X 1997 MN The Corporation was formed to develop and operate a senior living and mentoring facility. 6 6 281 108 0 0 250 350 14604600 14175391 -390286 -20885 0 0 14214564 14154856 0 0 0 0 5924129 6408852 0 0 0 8069871 8303480 13994000 14712332 220564 -557476 22294833 20967394 25528665 25158702 -3233832 -4191308 X To develop and operate a senior living and mentoring facility. 0 0 12465041 14175391 Northern Arizona Senior Living Community, LLC dba The Peaks, a Senior Living Facility (The Peaks) located in Flagstaff, Arizona, is a comprehensive senior living and healthcare campus consisting of 58 skilled nursing beds, 96 assisted living units, and 39 bungalows. 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, 2018, 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 18 Medicaid patients in our skilled nursing facility on a daily basis. In our lodge, and bungalows we averaged 11 residents on a daily basis discounting eligible resident's care by $377,191 during 2018. We have a partnership with the Museum of Northern Arizona (MNA), which supports an art collection within The Peaks and two museum docent programs. The Peaks has come to an agreement with the Museum of Northern Arizona to issue memberships to all Peaks' residents. We believe this art enriches the lives of our residents and the community as a whole. Each month we support the museum with an $825 monthly fee. (Value $9,900). The Peaks funded: $5,000 for five Certified Nursing Assistant scholarships to the local Community College; $2,000 to Casa For Kids to help with healthcare and clothing for under privileged children; $2,000 to Flagstaff Shelter Services for food, blankets and other items for the homeless; $2,500 to Arizona Veteran's for food, clothing and other items for local veterans; $5,000 to Sunshine Rescue Mission who help men, women and children recover from difficult situations; $5,000 to Quality Connections a local organization with day programs for the developmentally disabled; $5,000 to Coconino Senior Foundation for medical alert pendants, reading material and glasses for home bound elderly; including other donations to organizations consistent with our philosophy of intergenerational care. NAU nursing students in the baccalaureate and masters 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. 12465041 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 61 0 1 281 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 1 1 1 0 AZ X The Goodman Group LLC 9523618000 1107 Hazeltine Blvd Chaska MN 55318 X John Harrington Manager 1.00 X 0 0 0 Tiffany Ferguson Manager 1.00 X 0 0 0 Jennie Clarke Manager 1.00 X 0 0 0 Joseph Guertin Manager 1.00 X 0 0 0 Christopher Bavasi Co-Chief Executive Officer 1.00 X X 0 0 0 Thomas Egan Co-Chief Executive Officer 1.00 X X 0 0 0 Russell Goddard Executive Director 40.00 X 117686 0 29421 Janet Simpkin-Mars Assisted Living Director 40.00 X 106626 0 26657 224312 0 56078 2 0 0 0 Synertx 7540 North 19th Avenue Suite 200 Phoenix AZ 85021 Therapy 1106583 The Goodman Group LLC 1107 Hazeltine Blvd 200 Chaska MN 55318 Management and Accounting Services, info 923072 Pharmerica Corporation of America PO Box 409251 Atlanta GA 30384 Pharmacy 575620 Northern Arizona Healthcare 1200 North Beaver Street Flagstaff AZ 86001 Medical 216976 4 350 350 Resident Services 623990 9021855 9021855 Ancillary Services 623990 5038657 5038657 Other operating revenue 623990 114879 114879 14175391 4470 4470 25355 -25355 -25355 -25355 14154856 14175391 0 -20885 X 5771048 5347247 423801 170568 170568 467236 434281 32955 778552 778552 23770 23770 205558 205558 1568953 1568953 298553 295265 3288 252944 29787 223157 323490 323490 129854 5232 124622 997206 997206 1090835 1090835 747991 563098 184893 General Medical 844551 844551 Dietary food 624233 624233 Equipment rental and ma 214781 214781 Other expenses 84388 84388 117821 41694 76127 14712332 12465041 2247291 0 1046865 862634 360390 359485 1136242 956536 56492 49625 199220 302388 29959434 13947586 16891176 16011848 2604448 2424878 22294833 20967394 730809 731122 110156 152988 24617472 24204487 70228 70105 25528665 25158702 X -3233832 -4191308 -3233832 -4191308 22294833 20967394 X -557476 -400000 X X 0 1 X 1 0 X 288 10100 1226 250 350 12214 13613353 13435166 14068583 14604600 14175391 69897093 13613641 13445266 14069809 14604850 14175741 69909307 0 0 0 69909307 12842 16484 3910 4115 4470 41821 12842 16484 3910 4115 4470 41821 13626483 13461750 14073719 14608965 14180211 69951128 0.99940 0.99850 0.00060 0.00150 X 660000 660000 22210180 9013071 13197109 4607079 2841840 1765239 2482175 2092675 389500 16011848 Replacement reserve account 796245 Tenant/patient funds held in trust 1804 Operating reserve 788844 Capitalized interest - net of accum 771218 Tax and insurance escrow 66767 2424878 Accrued Interest 68401 Patient funds 1704 70105 X 14352142 0 14352142 -197286 -197286 14154856 14909618 0 14909618 -197286 -197286 14712332 Part X, Line 2: The Company is exempt from taxation as a nonprofit organization in accordance with 501(c)(3) of the Internal Revenue Code. The Company adopted the recognition requirements for uncertain income tax positions as required by Financial Accounting Standards Board Accounting Standards Codification (FASB ASC) 740-10 (formerly known as FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes), with no cumulative effect adjustment required. Income tax benefits are recognized for income tax positions taken or expected to be taken in a tax return, only when it is determined that the income tax position will more-likely-than-not be sustained upon examination by taxing authorities. The Company has analyzed tax positions taken for filing with the Internal Revenue Service and the state jurisdiction where it operates. The Company believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on the Company's financial condition, results of operations, or cash flows. Accordingly, the Company has not recorded any reserves or related accruals for interest and penalties for uncertain income tax positions at December 31, 2015. The Company is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any open tax periods. Part XI, Line 4b - Other Adjustments: Uncollectible accounts - netted with revenue -171,931. Loss on disposal of property -25,355. Part XII, Line 4b - Other Adjustments: Uncollectible accounts - netted with revenue -171,931. Loss on disposal of property -25,355. 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 Each member of the governing board annually completes a disclosure of conflict of interest questionnaire. Form 990, Part VI, Section B, line 15 Compensation is based on experience and market salary surveys, and is reviewed annually. Form 990, Part VI, Section C, line 19 The organization makes it governing documents, conflict of interest policy, and financial statements available to the public upon written request. Form 990, Part IX, line 11g General medical services : Program service expenses 104,872. Management and general expenses 0. Fundraising expenses 0. Total expenses 104,872. Nursing and therapy : Program service expenses 1,151,939. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,151,939. Dining, laundry, and housekeeping : Program service expenses 93,281. Management and general expenses 0. Fundraising expenses 0. Total expenses 93,281. Other : Program service expenses 218,861. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,861. Form 990, Part XI, line 9: Capital transfer -400,000. 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 was the same as last year. RELATED ORGANIZATION COMPENSATION: Made an effort to obtain information on compensation, if any were paid from a related organization. No other compensation or transactions were noted other than those listed on Form 990, Part VII, Line 1a. FORM 990, PART VI, LINE 9: Officer, director, trustee, or key employee listed in Part VII, Section who cannot be reached at the organization's mailing address include: 1. Chris Bavasi at Flagstaff Medical Center, PO Box 891, Flagstaff, AZ 86002 2. Thomas A. Egan at 864 Great Oaks Trail, Eagan, MN 55123 3. John Harrington at 1200 North Beaver Street, Flagstaff, AZ 86001 4. Tiffany Ferguson at 1200 North Beaver Street, Flagstaff, AZ 86001 5. Jennie A Clarke at 4532 York Avenue South, Minneapolis, MN 55410 6. Joseph Guertin at 18585 South Gamma Beach Road, Grand Rapids, MN 55744 7. Russell Goddard at 3107 West Cooper Drive, Flagstaff, AZ 86001 8. Janet R Simpkin-Mars at 2780 North Eddy Drive, Falgstaff, AZ 86001 FORM 990, PART IX: The financial statements report certain categories of expenses that are attributable to more than one program or supporting function. Therefore, these expenses require allocation on a reasonable basis that is consistently applied. The expenses are allocated based on the time and effort spent in each natural and functional class.